Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11286 | Date 14/03/2024 |
| Token No | SM/24-25/20412 08/01/2025 | Serial | 004 |
| Patient Name | Mrs. PARBATI HAZRA | Contact No | 9748784979 |
| Address | MANIKTALA | Age | 81 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||