Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11982 | Date 21/08/2024 |
| Token No | SM/24-25/18311 21/08/2024 | Serial | 025 |
| Patient Name | Mrs. SHRABANI DAS | Contact No | 9748197660 |
| Address | 38 AKHRABATI LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||