Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06515 | Date 02/04/2024 |
| Token No | SM/24-25/20427 02/04/2024 | Serial | 025 |
| Patient Name | Miss KAJAL KUMARI SHAW | Contact No | 9007939141 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||