Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13127 | Date 16/06/2025 |
| Token No | SM/25-26/1302 21/07/2025 | Serial | 011 |
| Patient Name | Mrs. ISHIKA ROY GHATAK | Contact No | 8420982620 |
| Address | 44 K D B LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||