Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 12019 | Date 29/08/2024 |
| Token No | SM/24-25/18464 29/08/2024 | Serial | 028 |
| Patient Name | Mrs. SANGITA SHIL | Contact No | 7003009563 |
| Address | 219/2 RAJYADHARPUR GOVT COLONY | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||