Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03503 | Date 29/11/2019 |
| Token No | SM/24-25/20338 23/12/2024 | Serial | 006 |
| Patient Name | Mrs. CHANDRIMA KUNDU | Contact No | 9830959238 |
| Address | 17/A/1 CHOWDHURY PARA LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||