Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10422 | Date 18/09/2023 |
| Token No | SM/22-23/15035 04/03/2024 | Serial | 020 |
| Patient Name | Miss RITIKA DAS | Contact No | |
| Address | Age | 30 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||