Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08226 | Date 19/11/2024 |
| Token No | SM/24-25/31360 19/11/2024 | Serial | 002 |
| Patient Name | Mrs. LUTFUN NESHA | Contact No | 9674532389 |
| Address | PANIHATI GHOLA BAZAR N24 PARGANA 700111 | Age | 64 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||