Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12139 | Date 24/09/2024 |
| Token No | SM/24-25/19505 29/10/2024 | Serial | 008 |
| Patient Name | Mrs. SHRABANTI DUTTA GAR | Contact No | 7980017123 |
| Address | 3/B/1 BRAJA DUTTA LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||