Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08576 | Date 18/01/2025 |
| Token No | SM/24-25/34422 20/01/2025 | Serial | 082 |
| Patient Name | Mrs. LAXMI JHA | Contact No | 8481893163 |
| Address | GHORAMARA MALLICKPARA 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||