Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11855 | Date 29/07/2024 |
| Token No | SM/24-25/17787 29/07/2024 | Serial | 014 |
| Patient Name | Mrs. LAXMI DAS. | Contact No | 8481042290 |
| Address | DEY GHAT LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||