Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12144 | Date 25/09/2024 |
| Token No | SM/24-25/21337 17/03/2025 | Serial | 010 |
| Patient Name | Miss IRSITA DAS | Contact No | 9830586694 |
| Address | KALITALA | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||