Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12386 | Date 25/11/2024 |
| Token No | SM/24-25/19873 25/11/2024 | Serial | 019 |
| Patient Name | Mrs. KRISHNA DEBI | Contact No | 9088534469 |
| Address | 18 AKRABATI LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||