Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12383 | Date 25/11/2024 |
| Token No | SM/24-25/19870 25/11/2024 | Serial | 016 |
| Patient Name | Mrs. SHAKUNTALA DAS | Contact No | 8017220133 |
| Address | 96 R.B. SARANI | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||