Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06382 | Date 19/07/2022 |
| Token No | SM/24-25/17911 05/08/2024 | Serial | 013 |
| Patient Name | Mrs. ARJU BANU | Contact No | 9330478281 |
| Address | 11 T C GOSWAMI STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||