Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05903 | Date 19/12/2023 |
| Token No | SM/24-25/33983 10/01/2025 | Serial | 019 |
| Patient Name | Mrs. SAKUNI DEVI | Contact No | 8017164812 |
| Address | GHORAMARA MALLICKPARA 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||