Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11352 | Date 02/04/2024 |
| Token No | SM/24-25/15572 02/04/2024 | Serial | 008 |
| Patient Name | Mrs. BINAMRATA SHAW | Contact No | 6290063582 |
| Address | 22 LBS ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||