Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12247 | Date 19/10/2024 |
| Token No | SM/24-25/19343 19/10/2024 | Serial | 011 |
| Patient Name | Mrs. TANNU PRASAD | Contact No | 7890767615 |
| Address | 14 AKHRABATI LANE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||