Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12360 | Date 20/11/2024 |
| Token No | SM/24-25/19793 20/11/2024 | Serial | 024 |
| Patient Name | Mrs. GURIYA ROY | Contact No | 8240494314 |
| Address | 59 POTUA PARA LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||