Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12696 | Date 24/02/2025 |
| Token No | SM/24-25/21097 24/02/2025 | Serial | 017 |
| Patient Name | Mrs. MIRA DEBI | Contact No | 9064924537 |
| Address | DEY STREET | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||