Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09875 | Date 04/08/2023 |
| Token No | SM/22-23/11395 04/08/2023 | Serial | 023 |
| Patient Name | Mrs. MANSHA DAS | Contact No | 9748635271 |
| Address | 20A AKHRABATI LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||