Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11332 | Date 28/03/2024 |
| Token No | SM/22-23/15499 28/03/2024 | Serial | 034 |
| Patient Name | Mrs. MIRA DEVI | Contact No | 8252185941 |
| Address | K.M.BHATTACHARYA ST | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||