Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11923 | Date 08/08/2024 |
| Token No | SM/24-25/19105 30/09/2024 | Serial | 029 |
| Patient Name | Mrs. SIKHA DUTTA | Contact No | 7059085383 |
| Address | 194 G.T. ROAD, KUMAR BAGAN, CHATRA | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||