Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11456 | Date 27/04/2024 |
| Token No | SM/24-25/15997 27/04/2024 | Serial | 003 |
| Patient Name | Mrs. SOBHA DAS | Contact No | 7449643536 |
| Address | 12 PITAMBAR DEY LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||