Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11992 | Date 22/08/2024 |
| Token No | SM/24-25/18336 22/08/2024 | Serial | 005 |
| Patient Name | Mrs. TILA DEBI | Contact No | 6291445570 |
| Address | 104 HOSPITAL LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||