Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11997 | Date 23/08/2024 |
| Token No | SM/24-25/18351 23/08/2024 | Serial | 003 |
| Patient Name | Mrs. SUPRIYA SUTRADHAR DAS | Contact No | 9088838606 |
| Address | 14 POTUA PARA | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||