Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13251 | Date 18/07/2025 |
| Token No | SM/25-26/1281 18/07/2025 | Serial | 007 |
| Patient Name | Mrs. KIRAN DAS | Contact No | 9163860128 |
| Address | 78 DEY STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||