Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12576 | Date 27/01/2025 |
| Token No | SM/24-25/20708 27/01/2025 | Serial | 006 |
| Patient Name | Mrs. LATA JAISWARA | Contact No | 8017914661 |
| Address | 2 GOPAL GANGULY LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||