Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08569 | Date 16/03/2023 |
| Token No | SM/25-26/1197 14/07/2025 | Serial | 001 |
| Patient Name | Mrs. SWAPNA BERA | Contact No | 8296022209 |
| Address | 6B PANCHANAN TALA LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||