Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07519 | Date 04/11/2022 |
| Token No | SM/22-23/13316 16/11/2023 | Serial | 017 |
| Patient Name | Mrs. KEYA DAS BHAR | Contact No | 9836524759 |
| Address | 4 NABAKRISHNA GUIN LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||