Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09781 | Date 20/08/2025 |
| Token No | SM/25-26/6625 20/08/2025 | Serial | 034 |
| Patient Name | Mrs. ANU SAHA | Contact No | |
| Address | 42 SHIBTALA LANE BAIDYABATI M CHATRA 712204 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||