Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12385 | Date 25/11/2024 |
| Token No | SM/24-25/19872 25/11/2024 | Serial | 018 |
| Patient Name | Mrs. ANITA DAS | Contact No | 8017220133 |
| Address | 96 R.B. SARANI | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||