Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03127 | Date 26/09/2019 |
| Token No | SM/22-23/15438 27/03/2024 | Serial | 018 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9804791068 |
| Address | 9 NO PATUA PARA | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||