Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12355 | Date 20/11/2024 |
| Token No | SM/24-25/19775 20/11/2024 | Serial | 006 |
| Patient Name | Mrs. BINA BISWAS | Contact No | 8902760550 |
| Address | 33 N N COLONY | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||