Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08229 | Date 19/11/2024 |
| Token No | SM/24-25/31409 19/11/2024 | Serial | 051 |
| Patient Name | Mrs. MIRA SINGH | Contact No | |
| Address | GHORAMARA MALLICKPARA 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||