Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08314 | Date 28/11/2024 |
| Token No | SM/25-26/10778 21/11/2025 | Serial | 024 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 9062387376 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||