Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11346 | Date 01/04/2024 |
| Token No | SM/22-23/15549 01/04/2024 | Serial | 014 |
| Patient Name | Mrs. PUJA PARUI | Contact No | 8509017085 |
| Address | 48E/2 PATUA PARA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||