Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11628 | Date 10/06/2024 |
| Token No | SM/24-25/16768 10/06/2024 | Serial | 017 |
| Patient Name | Mrs. DIPIKA PAL | Contact No | NOT GIVEN |
| Address | DHARMATALA | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||