Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10001 | Date 18/08/2023 |
| Token No | SM/22-23/11702 18/08/2023 | Serial | 002 |
| Patient Name | Mrs. NITU DAS | Contact No | 8478912709 |
| Address | 113 R B SARANI | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||