Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11828 | Date 22/07/2024 |
| Token No | SM/24-25/17666 22/07/2024 | Serial | 008 |
| Patient Name | Mrs. DEBI DAS | Contact No | 8584887358 |
| Address | K.M. SHA STREET | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||