Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13258 | Date 21/07/2025 |
| Token No | SM/25-26/1297 21/07/2025 | Serial | 006 |
| Patient Name | Mrs. SHIBANI MONDAL | Contact No | 6289872950 |
| Address | 138/B N N COLONY | Age | 27 YRS. Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||