Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11825 | Date 20/07/2024 |
| Token No | SM/24-25/17654 20/07/2024 | Serial | 034 |
| Patient Name | Mrs. KALYANI BORAL | Contact No | 8777070015 |
| Address | 4B BHAGIRATHI LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||