Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11944 | Date 12/08/2024 |
| Token No | SM/24-25/18972 24/09/2024 | Serial | 002 |
| Patient Name | Mrs. MANASI PRADHAN | Contact No | 7003775019 |
| Address | 45 N.L. BHATTACHARYA STREET | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||