Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08099 | Date 03/01/2023 |
| Token No | SM/22-23/7332 03/01/2023 | Serial | 008 |
| Patient Name | Mrs. PRATIMA SAMANTA | Contact No | 6289331440 |
| Address | NABAKRISHNA GUIN LANE | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||