Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12150 | Date 26/09/2024 |
| Token No | SM/24-25/19032 26/09/2024 | Serial | 014 |
| Patient Name | Mrs. DIPIKA DAS.. | Contact No | 9339062455 |
| Address | 23 NEHERU NAGAR COLONY | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||