Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11913 | Date 07/08/2024 |
| Token No | SM/24-25/19755 16/11/2024 | Serial | 013 |
| Patient Name | Mrs. SUNITA DAS | Contact No | 9883670314 |
| Address | 78 DEY STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||