Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08614 | Date 22/03/2023 |
| Token No | SM/25-26/1202 14/07/2025 | Serial | 006 |
| Patient Name | Mrs. LILA DEBI | Contact No | 6290388264 |
| Address | 132 PATUA PARA | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||