Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11331 | Date 28/03/2024 |
| Token No | SM/24-25/16394 22/05/2024 | Serial | 006 |
| Patient Name | Mrs. SHYAMALI LAHA | Contact No | 9038389770 |
| Address | 30 G T ROAD KALITALA | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||