Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11902 | Date 06/08/2024 |
| Token No | SM/24-25/17940 06/08/2024 | Serial | 001 |
| Patient Name | Mrs. RAJLAXMI DAS | Contact No | 9088159030 |
| Address | 6 BECHU DEY LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||