Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13501 | Date 10/09/2025 |
| Token No | SM/25-26/1982 10/09/2025 | Serial | 009 |
| Patient Name | Mrs. SHILA DEBI | Contact No | 8697441612 |
| Address | INDIA JUTE MILL | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||