Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07849 | Date 05/09/2024 |
| Token No | SM/24-25/27784 05/09/2024 | Serial | 068 |
| Patient Name | Mrs. SANGITA DEY | Contact No | 7687828022 |
| Address | 6 S K NAGAR RISHRA M 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||