Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04482 | Date 14/06/2021 |
| Token No | SM/24-25/20576 17/01/2025 | Serial | 026 |
| Patient Name | Mrs. PUJA DAS | Contact No | 6290470714 |
| Address | 38 L M BHATTACHARJEE STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||