Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12483 | Date 21/12/2024 |
| Token No | SM/24-25/20320 21/12/2024 | Serial | 009 |
| Patient Name | Mrs. ANANYA BAG | Contact No | 7003053274 |
| Address | KALITALA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||