Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10195 | Date 20/11/2025 |
| Token No | SM/25-26/10715 20/11/2025 | Serial | 028 |
| Patient Name | Mrs. TANUSHREE BAG | Contact No | 9163241725 |
| Address | S S ROAD EXTENSTION RISHRA PRAVASHNAGAR 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||