Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11614 | Date 06/06/2024 |
| Token No | SM/24-25/16699 06/06/2024 | Serial | 001 |
| Patient Name | Mrs. JAMBATI BHUIYA | Contact No | 9748774548 |
| Address | J N LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||