Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11937 | Date 09/08/2024 |
| Token No | SM/24-25/18108 09/08/2024 | Serial | 047 |
| Patient Name | Mrs. SONALI SHAW | Contact No | 9330586579 |
| Address | 23 BAJAR BYE LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||