Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11504 | Date 09/05/2024 |
| Token No | SM/24-25/16194 11/05/2024 | Serial | 008 |
| Patient Name | Mrs. MAMATA GIRI | Contact No | 8620866387 |
| Address | RAJMOHAN GOSWAMI LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||