Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09894 | Date 07/08/2023 |
| Token No | SM/22-23/11439 07/08/2023 | Serial | 015 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 7439493901 |
| Address | 113 R.B SARANI | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||