Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12473 | Date 19/12/2024 |
| Token No | SM/24-25/20287 19/12/2024 | Serial | 007 |
| Patient Name | Mrs. MILAN SOM | Contact No | 9432372629 |
| Address | 3/D BAHIR SERAMPORE | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||