Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12598 | Date 30/01/2025 |
| Token No | SM/24-25/20793 30/01/2025 | Serial | 016 |
| Patient Name | Mrs. ANKITA DAS. | Contact No | 8777461054 |
| Address | 11/B DEY BAGAN LANE | Age | 26 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||