Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05531 | Date 14/03/2022 |
| Token No | SM/24-25/20496 13/01/2025 | Serial | 039 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | NOT GIVEN |
| Address | 86 DEY STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||