Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12398 | Date 27/11/2024 |
| Token No | SM/24-25/19930 27/11/2024 | Serial | 007 |
| Patient Name | Mrs. DOLI DEY | Contact No | 9078719217 |
| Address | 55 POTUA PARA LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||