Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13286 | Date 24/07/2025 |
| Token No | SM/25-26/1380 24/07/2025 | Serial | 019 |
| Patient Name | Mrs. ANANYA BAG. | Contact No | 7003053274 |
| Address | KALITALA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||