Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11502 | Date 09/05/2024 |
| Token No | SM/24-25/16530 28/05/2024 | Serial | 018 |
| Patient Name | Mrs. CHANDANI DAS | Contact No | 8910472812 |
| Address | 122 R.B. SARANI | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||