Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11130 | Date 12/02/2024 |
| Token No | SM/22-23/14730 12/02/2024 | Serial | 006 |
| Patient Name | Mrs. MANJU DAS | Contact No | 7439626659 |
| Address | 34/A BHAGIRATHI LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||