Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12158 | Date 28/09/2024 |
| Token No | SM/24-25/19056 28/09/2024 | Serial | 009 |
| Patient Name | Mrs. DIPALI SARKAR | Contact No | 8910863078 |
| Address | BANDEL | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||