Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12835 | Date 29/03/2025 |
| Token No | SM/24-25/21489 29/03/2025 | Serial | 009 |
| Patient Name | Mrs. SABITA SAHA | Contact No | 9734719744 |
| Address | 137 NEHERU NAGAR COLONY | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||