Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11375 | Date 05/04/2024 |
| Token No | SM/24-25/15640 05/04/2024 | Serial | 007 |
| Patient Name | Mrs. PUTUL SHAW | Contact No | 7890236454 |
| Address | 25 AKC BHATTACHARYA STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||