Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12881 | Date 11/04/2025 |
| Token No | SM/25-26/134 11/04/2025 | Serial | 001 |
| Patient Name | Mrs. PADMA KOLEY | Contact No | 9831348750 |
| Address | 100A CHOWDHURY PARA | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||