Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11514 | Date 11/05/2024 |
| Token No | SM/24-25/20213 16/12/2024 | Serial | 008 |
| Patient Name | Mrs. KOYEL PAL | Contact No | 9073306291 |
| Address | 67 THAKURBATI STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||