Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11254 | Date 07/03/2024 |
| Token No | SM/22-23/15120 07/03/2024 | Serial | 007 |
| Patient Name | Mrs. PUJA KUMARI | Contact No | 8240264509 |
| Address | 23N N.L. BHATTACHARYA STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||