Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13295 | Date 25/07/2025 |
| Token No | SM/25-26/1395 25/07/2025 | Serial | 008 |
| Patient Name | Miss KATHA MANNA | Contact No | 7439728123 |
| Address | CHOWDHURY PARA | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||