Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01347 | Date 04/04/2020 |
| Token No | SM/22-23/14701 25/10/2023 | Serial | 002 |
| Patient Name | Mrs. MANIKA DAS | Contact No | 9339621202 |
| Address | B/110/X TARAPUKUR GOVT QUARTER 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||