Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09400 | Date 19/06/2023 |
| Token No | SM/22-23/10319 19/06/2023 | Serial | 006 |
| Patient Name | Mrs. MITA BHAR | Contact No | 9830962273 |
| Address | NABA KRISHNA GUIN LANE | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||