Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12182 | Date 30/09/2024 |
| Token No | SM/24-25/19156 01/10/2024 | Serial | 022 |
| Patient Name | Mrs. SUSMITA CHAKRABORTY | Contact No | 7003118522 |
| Address | 14/A/2/B KHATIR BAZAR | Age | 32 Y Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||