Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12259 | Date 22/10/2024 |
| Token No | SM/24-25/19404 22/10/2024 | Serial | 002 |
| Patient Name | Mrs. PURNIMA DUTTA | Contact No | 8961205912 |
| Address | 584 G.T. ROAD, MANIKTALA | Age | 59YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||