Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06021 | Date 08/01/2024 |
| Token No | SM/25-26/12162 20/12/2025 | Serial | 002 |
| Patient Name | Mrs. KAJAL DAS | Contact No | 8444934171 |
| Address | 10/G/1 HARIPARA LANE SERAMPOE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||