Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07558 | Date 09/11/2022 |
| Token No | SM/24-25/16671 05/06/2024 | Serial | 009 |
| Patient Name | Mrs. JHUMPA DAS | Contact No | 9123758304 |
| Address | 111 G.T. ROAD, MANIKTALA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||