Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08597 | Date 22/01/2025 |
| Token No | SM/24-25/34566 22/01/2025 | Serial | 044 |
| Patient Name | Mrs. LAJMONI DEVI | Contact No | 7439478165 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||