Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10033 | Date 19/08/2023 |
| Token No | SM/22-23/14534 01/02/2024 | Serial | 006 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9339805858 |
| Address | 68 POTUA PARA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||