Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11650 | Date 13/06/2024 |
| Token No | SM/24-25/16972 19/06/2024 | Serial | 026 |
| Patient Name | Mrs. KARUNA DAS | Contact No | 8910299198 |
| Address | 63 G.T.ROAD | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||