Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12189 | Date 01/10/2024 |
| Token No | SM/24-25/19143 01/10/2024 | Serial | 009 |
| Patient Name | Mrs. SHUBHRA SANTRA | Contact No | 8648008287 |
| Address | 22/D NOTUN BAGAN LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||