Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09177 | Date 26/05/2023 |
| Token No | SM/24-25/16054 03/05/2024 | Serial | 013 |
| Patient Name | Mrs. SIULI DAS | Contact No | 9433558741 |
| Address | 113 NO GT ROAD MANIK TOLA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||