Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11377 | Date 08/04/2024 |
| Token No | SM/24-25/15643 08/04/2024 | Serial | 002 |
| Patient Name | Mrs. ALPANA DAS | Contact No | 6291573297 |
| Address | 68 POTUA PARA | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||