Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08182 | Date 19/01/2023 |
| Token No | SM/24-25/19310 15/10/2024 | Serial | 008 |
| Patient Name | Mrs. SRIMA DEBI | Contact No | 9062250186 |
| Address | DEY STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||