Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12210 | Date 07/10/2024 |
| Token No | SM/24-25/19226 07/10/2024 | Serial | 013 |
| Patient Name | Miss AYASI SUR | Contact No | 9433810090 |
| Address | 1/1 CHATTERJEE LANE | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||