Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12035 | Date 30/08/2024 |
| Token No | SM/24-25/18497 30/08/2024 | Serial | 019 |
| Patient Name | Miss BIDISHA DAS | Contact No | 9051357244 |
| Address | 15 G.T. ROAD | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||