Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07807 | Date 25/11/2022 |
| Token No | SM/25-26/2297 15/10/2025 | Serial | 008 |
| Patient Name | Mrs. SUSAMA DAS | Contact No | 9382559511 |
| Address | 50C RAILAND ROAD | Age | 53 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||