Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11863 | Date 30/07/2024 |
| Token No | SM/24-25/18466 29/08/2024 | Serial | 030 |
| Patient Name | Mrs. NANDITA RAY (BAGDI) | Contact No | 6289816538 |
| Address | 60 PATUAPARA | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||