Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11959 | Date 14/08/2024 |
| Token No | SM/25-26/659 04/06/2025 | Serial | 024 |
| Patient Name | Mrs. PUTUL PRASAD | Contact No | 9123971541 |
| Address | 4 D N MUKHERJEE ROAD | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||