Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 04381 | Date 13/05/2021 |
| Token No | SM/24-25/16859 13/06/2024 | Serial | 008 |
| Patient Name | Mrs. SANJU DAS | Contact No | 9038572810 |
| Address | 2 RAYLAND ROAD | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||