Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12524 | Date 13/01/2025 |
| Token No | SM/24-25/20484 13/01/2025 | Serial | 027 |
| Patient Name | Mrs. KASHILA DAS | Contact No | 9674618353 |
| Address | K L GOSWAMI STREET | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||