Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11427 | Date 22/04/2024 |
| Token No | SM/24-25/16469 24/05/2024 | Serial | 005 |
| Patient Name | Mrs. MANTA DAS | Contact No | 9062375799 |
| Address | 541/B G.T. ROAD, MANIKTALA | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||