Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11485 | Date 06/05/2024 |
| Token No | SM/24-25/16216 13/05/2024 | Serial | 022 |
| Patient Name | Mrs. GAZALA KHATOON | Contact No | 9163026597 |
| Address | DR. NANILAL BHATTACHARJEE ST | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||