Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12133 | Date 23/09/2024 |
| Token No | SM/24-25/18957 23/09/2024 | Serial | 036 |
| Patient Name | Mrs. SWARNALATA DAS | Contact No | NOT GIVEN |
| Address | LALIT ABASAN, SINGHA GALI | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||