Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10297 | Date 13/12/2025 |
| Token No | SM/25-26/11927 13/12/2025 | Serial | 072 |
| Patient Name | Mrs. SUDESHNA SHAW | Contact No | 6289324464 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||