Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11034 | Date 10/01/2024 |
| Token No | SM/22-23/14831 20/02/2024 | Serial | 040 |
| Patient Name | Miss RAKHI SAMANTA | Contact No | 9064036409 |
| Address | PANTHARI BALIPUR KHANAKUL | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||