Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11066 | Date 25/01/2024 |
| Token No | SM/22-23/14406 25/01/2024 | Serial | 004 |
| Patient Name | Mrs. SATYABATI DAS | Contact No | 9883336469 |
| Address | 12 PIOTAMBAR DEY LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||