Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12748 | Date 08/03/2025 |
| Token No | SM/24-25/21250 08/03/2025 | Serial | 009 |
| Patient Name | Mrs. TUKU MALLICK | Contact No | 6290628084 |
| Address | N.L. BHATTACHARYA STREET | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||