Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12429 | Date 06/12/2024 |
| Token No | SM/24-25/20059 06/12/2024 | Serial | 006 |
| Patient Name | Mrs. NIRUPAMA DAS | Contact No | 9088077487 |
| Address | MANNA PARA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||