Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11816 | Date 19/07/2024 |
| Token No | SM/24-25/17614 19/07/2024 | Serial | 001 |
| Patient Name | Mrs. RISHA BANERJEE | Contact No | 8777395144 |
| Address | 28 AKHRA BATI LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||