Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11370 | Date 04/04/2024 |
| Token No | SM/24-25/17307 04/07/2024 | Serial | 002 |
| Patient Name | Miss NEHA CHOUDHURY | Contact No | 7449689779 |
| Address | 62 RAILAND ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||