Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11309 | Date 22/03/2024 |
| Token No | SM/22-23/15404 22/03/2024 | Serial | 004 |
| Patient Name | Mrs. BIBHA ADAK | Contact No | |
| Address | VILL+ POST KOLAGHAT | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||