Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11041 | Date 17/01/2024 |
| Token No | SM/22-23/14305 17/01/2024 | Serial | 025 |
| Patient Name | Mrs. LAXMI DAS | Contact No | 8481042209 |
| Address | 10 DEY GHAT LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||