Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11232 | Date 05/03/2024 |
| Token No | SM/22-23/15055 05/03/2024 | Serial | 001 |
| Patient Name | Mrs. SITA SHA | Contact No | 7980886517 |
| Address | NEAR SERAMPORE THANA | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||