Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11307 | Date 21/03/2024 |
| Token No | SM/24-25/16146 09/05/2024 | Serial | 045 |
| Patient Name | Miss RITIKA DAS | Contact No | 6291998119 |
| Address | 106 R B SARANI | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||