Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04361 | Date 05/05/2021 |
| Token No | SM/24-25/20385 26/12/2024 | Serial | 007 |
| Patient Name | Mrs. SUMITA GHOSH | Contact No | 7044244242 |
| Address | 29 J.M.LAHIRI ROAD | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||