Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09628 | Date 14/07/2023 |
| Token No | SM/24-25/16631 03/06/2024 | Serial | 018 |
| Patient Name | Mrs. DEBASHREE MAJHI | Contact No | 8240363393 |
| Address | 7 AKHRABATI LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||