Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06628 | Date 25/04/2024 |
| Token No | SM/24-25/21155 25/04/2024 | Serial | 030 |
| Patient Name | Mrs. SANGITA SAHA | Contact No | 9875308544 |
| Address | RAJABAGAN BAIDYABATI | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||