Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04652 | Date 23/07/2021 |
| Token No | SM/24-25/18197 14/08/2024 | Serial | 032 |
| Patient Name | Mrs. ALPANA DAS | Contact No | NOT GIVEN |
| Address | SINGHA GALI | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||