Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12132 | Date 23/09/2024 |
| Token No | SM/24-25/18945 23/09/2024 | Serial | 024 |
| Patient Name | Mrs. RUPA DEBI GUPTA | Contact No | 8100656195 |
| Address | 7/C B L C MILLS ROAD | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||