Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12515 | Date 10/01/2025 |
| Token No | SM/24-25/20441 10/01/2025 | Serial | 017 |
| Patient Name | Mrs. SARMISTHA BHATTACHARYA | Contact No | 9836195669 |
| Address | 108/H PATUA PARA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||