Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12889 | Date 21/04/2025 |
| Token No | SM/25-26/156 21/04/2025 | Serial | 001 |
| Patient Name | Mrs. RUMA DAS | Contact No | 8777245081 |
| Address | CHATRA DAS PARA | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||