Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08487 | Date 01/03/2023 |
| Token No | SM/24-25/20759 29/01/2025 | Serial | 018 |
| Patient Name | Mrs. DIPANNITA SIL | Contact No | 9836432636 |
| Address | 55 DHULIPARA LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||