Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06615 | Date 23/04/2024 |
| Token No | SM/25-26/3751 19/06/2025 | Serial | 043 |
| Patient Name | Mrs. ARATI SHARMA | Contact No | 9831296509 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||