Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05590 | Date 25/03/2022 |
| Token No | SM/22-23/13822 16/12/2023 | Serial | 002 |
| Patient Name | Mrs. SIKHA KARMAKAR.. | Contact No | 9331926312 |
| Address | DHULIPARA | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||