Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11964 | Date 16/08/2024 |
| Token No | SM/24-25/18202 16/08/2024 | Serial | 005 |
| Patient Name | Mrs. NANDINI DEBI | Contact No | 9432838410 |
| Address | DHARMATALA | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||