Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12797 | Date 19/03/2025 |
| Token No | SM/24-25/21367 19/03/2025 | Serial | 005 |
| Patient Name | Mrs. JULY DEBI | Contact No | 6290117929 |
| Address | 3 INDIA JUTE MILL | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||