Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12414 | Date 02/12/2024 |
| Token No | SM/24-25/20008 02/12/2024 | Serial | 014 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 7605837305 |
| Address | 44 CHATRA DUTTA PARA | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||