Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02760 | Date 07/08/2019 |
| Token No | SM/22-23/11033 19/07/2023 | Serial | 024 |
| Patient Name | Mrs. MANJU DAS | Contact No | 9331006809 |
| Address | 27 AKHRA BATI LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||