Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11407 | Date 15/04/2024 |
| Token No | SM/24-25/15749 15/04/2024 | Serial | 030 |
| Patient Name | Mrs. ALPANA SHIL | Contact No | 8961250738 |
| Address | 55 DHULIPARA BOTTALA | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||