Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12162 | Date 30/09/2024 |
| Token No | SM/24-25/19077 30/09/2024 | Serial | 001 |
| Patient Name | Mrs. DIPALI DAS | Contact No | 8820760253 |
| Address | 16A KAILASH CHATTERJEE LANE | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||