Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09924 | Date 10/09/2025 |
| Token No | SM/25-26/7725 10/09/2025 | Serial | 044 |
| Patient Name | Mrs. NAJIRAMA BIBI | Contact No | 9007265070 |
| Address | BHADUA MOLLABER 712250 | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||