Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12613 | Date 31/01/2025 |
| Token No | SM/24-25/20819 31/01/2025 | Serial | 008 |
| Patient Name | Mrs. NILA DEBI | Contact No | 7980169148 |
| Address | DEY BARI | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||