Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11830 | Date 22/07/2024 |
| Token No | SM/24-25/17668 22/07/2024 | Serial | 010 |
| Patient Name | Mrs. PAMPA PRAMANIK | Contact No | 7059852449 |
| Address | 12 AKHRABATI LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||