Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08529 | Date 13/03/2023 |
| Token No | SM/22-23/8242 13/03/2023 | Serial | 025 |
| Patient Name | Mrs. CHAITALI DAS MAJHI | Contact No | 9007228620 |
| Address | 23 AKHRABATI LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||