Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12063 | Date 04/09/2024 |
| Token No | SM/24-25/18595 04/09/2024 | Serial | 031 |
| Patient Name | Mrs. DIPIKA DAS | Contact No | 8777244748 |
| Address | 32 AKHRABATI LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||