Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09584 | Date 17/07/2025 |
| Token No | SM/25-26/4875 17/07/2025 | Serial | 052 |
| Patient Name | Miss SOBHA KUMARI | Contact No | 6290202869 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||