Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08280 | Date 07/02/2023 |
| Token No | SM/24-25/20675 24/01/2025 | Serial | 017 |
| Patient Name | Mrs. NIKEE DEVI | Contact No | 8100574794 |
| Address | 18/155 DR. N. L. BHATTACHARYA STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||