Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10625 | Date 03/10/2023 |
| Token No | SM/24-25/21133 26/02/2025 | Serial | 011 |
| Patient Name | Mrs. SANDHYANJALI PRADHAN | Contact No | 8420775686 |
| Address | 3 BECHU DEY LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||