Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12399 | Date 27/11/2024 |
| Token No | SM/24-25/19938 27/11/2024 | Serial | 015 |
| Patient Name | Mrs. SARAMA DAS | Contact No | 8336872585 |
| Address | 15 DEY BAGAN LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||