Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08860 | Date 10/03/2025 |
| Token No | SM/25-26/1534 05/05/2025 | Serial | 019 |
| Patient Name | Mrs. PRATIMA PATHAK | Contact No | 9088071918 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||