Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10843 | Date 30/11/2023 |
| Token No | SM/22-23/13450 30/11/2023 | Serial | 006 |
| Patient Name | Mrs. PIYALI DAS | Contact No | 9874762741 |
| Address | 38 AKHRA BATI LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||