Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12447 | Date 11/12/2024 |
| Token No | SM/24-25/20139 11/12/2024 | Serial | 014 |
| Patient Name | Mrs. BIMLA SHAW | Contact No | 9903693654 |
| Address | 2 BANERJEE PARA | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||