Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08091 | Date 02/01/2023 |
| Token No | SM/24-25/19625 08/11/2024 | Serial | 016 |
| Patient Name | Mrs. BARUNA DAS | Contact No | 8582873780 |
| Address | 562 G.T. ROAD | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||