Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11348 | Date 01/04/2024 |
| Token No | SM/24-25/17317 04/07/2024 | Serial | 012 |
| Patient Name | Mrs. TETRI DAS | Contact No | 9674618353 |
| Address | K.L. GOSWAMI STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||