Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06205 | Date 24/06/2022 |
| Token No | SM/22-23/14739 12/02/2024 | Serial | 015 |
| Patient Name | Mrs. SUMITRA DAS.. | Contact No | 6290771212 |
| Address | AKHRA BATI LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||