Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13131 | Date 18/06/2025 |
| Token No | SM/25-26/876 18/06/2025 | Serial | 011 |
| Patient Name | Mrs. MEGHA BARUA | Contact No | 8967553864 |
| Address | 3 NO INDIA JUTE MILL | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||