Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12844 | Date 02/04/2025 |
| Token No | SM/25-26/23 02/04/2025 | Serial | 022 |
| Patient Name | Mrs. BULBUL MAJUMDER | Contact No | 9143694986 |
| Address | 138 N N COLONY | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||