Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11100 | Date 06/02/2024 |
| Token No | SM/22-23/14613 06/02/2024 | Serial | 001 |
| Patient Name | Mrs. CHAINA MAITY | Contact No | 9088520800 |
| Address | CHATRA, MUKHERJEE PARA | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||