Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11424 | Date 20/04/2024 |
| Token No | SM/24-25/15856 20/04/2024 | Serial | 006 |
| Patient Name | Mrs. SHANTI DEBI | Contact No | 6289514973 |
| Address | 3 DEY GHAT LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||