Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12482 | Date 21/12/2024 |
| Token No | SM/24-25/20319 21/12/2024 | Serial | 008 |
| Patient Name | Mrs. MOLLY DAS | Contact No | 8582912456 |
| Address | S.B. GHOSH LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||