Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11431 | Date 22/04/2024 |
| Token No | SM/24-25/15901 22/04/2024 | Serial | 042 |
| Patient Name | Mrs. BINDU DAS | Contact No | 7980644126 |
| Address | 56 R.B. SARANI | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||