Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12113 | Date 20/09/2024 |
| Token No | SM/24-25/19881 25/11/2024 | Serial | 027 |
| Patient Name | Mrs. DEBKUMARI CHOWDHURY | Contact No | 9088249628 |
| Address | RAY LAND ROAD | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||