Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10331 | Date 07/09/2023 |
| Token No | SM/25-26/1655 13/08/2025 | Serial | 010 |
| Patient Name | Mrs. SHANTI DEBI | Contact No | 9883966816 |
| Address | 21 RAY GHAT LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||