Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12485 | Date 21/12/2024 |
| Token No | SM/24-25/20327 21/12/2024 | Serial | 016 |
| Patient Name | Mrs. ARPITA BHATTACHARYA | Contact No | 9123930127 |
| Address | 69A/3 G.T. ROAD WEST | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||