Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08916 | Date 20/03/2025 |
| Token No | SM/24-25/37126 20/03/2025 | Serial | 009 |
| Patient Name | Mrs. MINATI PAKIRA | Contact No | 8420721424 |
| Address | 38/18 JELIAPARA NABAGRAM BAIDYABTI M MALLICKPARA 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||