Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08956 | Date 24/03/2025 |
| Token No | SM/25-26/726 16/04/2025 | Serial | 041 |
| Patient Name | Mrs. ANUPAM GIRI | Contact No | 8334073992 |
| Address | 371/A S K NAGAR RISHRA 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||