Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12846 | Date 02/04/2025 |
| Token No | SM/25-26/25 02/04/2025 | Serial | 024 |
| Patient Name | Mrs. RAIMA BHATTACHARJEE | Contact No | 6291278879 |
| Address | 108/H PATUA PARA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||