Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08905 | Date 27/04/2023 |
| Token No | SM/25-26/2655 17/11/2025 | Serial | 019 |
| Patient Name | Mrs. BARSHA DAS | Contact No | 7044314635 |
| Address | 573 G.T. ROAD, MANIKTALA | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||