Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11785 | Date 13/07/2024 |
| Token No | SM/24-25/21254 08/03/2025 | Serial | 013 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9830213656 |
| Address | 86/1/A DEY STREET | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||