Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12382 | Date 25/11/2024 |
| Token No | SM/24-25/19863 25/11/2024 | Serial | 009 |
| Patient Name | Mrs. PAPIYA BISWAS | Contact No | 9123944424 |
| Address | BOTTALA SERAMPORE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||