Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12481 | Date 21/12/2024 |
| Token No | SM/24-25/20318 21/12/2024 | Serial | 007 |
| Patient Name | Mrs. SASWATI BERA | Contact No | 8017504062 |
| Address | 33/D S.B. GHOSH LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||