Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12325 | Date 13/11/2024 |
| Token No | SM/24-25/19670 13/11/2024 | Serial | 001 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 7449783739 |
| Address | 20 AKHRA BATI | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||