Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07519 | Date 04/11/2022 |
| Token No | SM/22-23/14734 12/02/2024 | Serial | 010 |
| Patient Name | Mrs. KEYA DAS BHAR | Contact No | 9836524759 |
| Address | 4 NABAKRISHNA GUIN LANE | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||