Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12800 | Date 19/03/2025 |
| Token No | SM/24-25/21372 19/03/2025 | Serial | 010 |
| Patient Name | Mrs. KANCHAN PRADHAN | Contact No | 8099777962 |
| Address | 25 N L B STREET | Age | 60 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||