Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12038 | Date 30/08/2024 |
| Token No | SM/24-25/19633 09/11/2024 | Serial | 008 |
| Patient Name | Mrs. BASANTI SEN | Contact No | 9674618353 |
| Address | KALITALA KATAPOL | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||