Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12156 | Date 27/09/2024 |
| Token No | SM/24-25/19055 28/09/2024 | Serial | 008 |
| Patient Name | Mrs. SUMITRA LAHA | Contact No | 8017053550 |
| Address | 17 SATYA CHARAN STREET | Age | 59YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||