Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11393 | Date 09/04/2024 |
| Token No | SM/24-25/15697 09/04/2024 | Serial | 011 |
| Patient Name | Mrs. DAMAYANTI DAS | Contact No | NOT GIVEN |
| Address | 10 THAKUR BATI STREET | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||