Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13283 | Date 24/07/2025 |
| Token No | SM/25-26/1370 24/07/2025 | Serial | 009 |
| Patient Name | Mrs. MOLLY DAS. | Contact No | 8582912456 |
| Address | S.B. GHOSH LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||