Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06214 | Date 08/02/2024 |
| Token No | SM/25-26/5145 22/07/2025 | Serial | 033 |
| Patient Name | Mrs. SUNITA DAS | Contact No | 8336828817 |
| Address | TALPUKUR BAROBELU BELUMILKI 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||