Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13116 | Date 13/06/2025 |
| Token No | SM/25-26/821 13/06/2025 | Serial | 008 |
| Patient Name | Mrs. RAMBHA DEBI | Contact No | 8479052271 |
| Address | 12 NO LINE INDIA JUTE MILL | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||