Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12750 | Date 10/03/2025 |
| Token No | SM/24-25/21266 10/03/2025 | Serial | 008 |
| Patient Name | Mrs. SARIKA DEBI | Contact No | 9432158725 |
| Address | 44/66 BHAGIRATHI LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||