Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13308 | Date 28/07/2025 |
| Token No | SM/25-26/1419 28/07/2025 | Serial | 010 |
| Patient Name | Mrs. SANDHYA RAJBHAR. | Contact No | 9883570680 |
| Address | TINBAZAR | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||