Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08599 | Date 22/01/2025 |
| Token No | SM/24-25/34585 22/01/2025 | Serial | 063 |
| Patient Name | Mrs. SUSMITA DAS | Contact No | 7583947375 |
| Address | JAGDHARI WARD 14 NALHATI NAIHATI M 731220 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||