Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09844 | Date 30/08/2025 |
| Token No | SM/25-26/7171 30/08/2025 | Serial | 033 |
| Patient Name | Mrs. SHOBHA KUMARI | Contact No | 8100563237 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||