Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08790 | Date 24/02/2025 |
| Token No | SM/24-25/36077 24/02/2025 | Serial | 051 |
| Patient Name | Mrs. SHANTI GHOSH | Contact No | 9830875494 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||