Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12184 | Date 30/09/2024 |
| Token No | SM/24-25/19159 01/10/2024 | Serial | 025 |
| Patient Name | Mrs. SWETA SAHA BANIK DAS | Contact No | 8910658315 |
| Address | 515/H GT ROAD | Age | 35 Y Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||