Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12348 | Date 15/11/2024 |
| Token No | SM/24-25/19738 15/11/2024 | Serial | 001 |
| Patient Name | Mrs. SUTAPA DAS NAHA | Contact No | 7439757244 |
| Address | 73/5 J N LAHIRI ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||