Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12782 | Date 17/03/2025 |
| Token No | SM/25-26/2039 13/09/2025 | Serial | 008 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 8335977267 |
| Address | 650/A G.T. ROAD, KALITALA | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||