Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11365 | Date 03/04/2024 |
| Token No | SM/24-25/15596 03/04/2024 | Serial | 022 |
| Patient Name | Mrs. GAYETRI DEBI | Contact No | |
| Address | DEY STREET | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||