Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11743 | Date 04/07/2024 |
| Token No | SM/24-25/17323 04/07/2024 | Serial | 018 |
| Patient Name | Mrs. MANI ROY | Contact No | 8240614854 |
| Address | THAKURBATI STREET | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||