Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11010 | Date 03/01/2024 |
| Token No | SM/22-23/14139 08/01/2024 | Serial | 003 |
| Patient Name | Mrs. JYOTSNA DEBNATH | Contact No | 6291130387 |
| Address | A.B. GARDEN LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||