Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04598 | Date 25/07/2023 |
| Token No | SM/24-25/24167 01/07/2024 | Serial | 076 |
| Patient Name | Mrs. JASMANTI DEVI | Contact No | 9507011120 |
| Address | PURBAPARA GHORAMARA MALLICKPARA 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||