Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12030 | Date 30/08/2024 |
| Token No | SM/24-25/20805 30/01/2025 | Serial | 028 |
| Patient Name | Mrs. SARASWATI SHAW. | Contact No | 9007592822 |
| Address | 72/L PATUAPARA LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||