Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12807 | Date 19/03/2025 |
| Token No | SM/25-26/118 10/04/2025 | Serial | 009 |
| Patient Name | Mrs. BRISHTI MONDAL | Contact No | 6291079819 |
| Address | 41/A/C MILLS ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||