Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12547 | Date 20/01/2025 |
| Token No | SM/24-25/20605 20/01/2025 | Serial | 006 |
| Patient Name | Mrs. MAMATA PRADHAN | Contact No | |
| Address | 25A J.N. LAHIRI ROAD | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||