Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13326 | Date 30/07/2025 |
| Token No | SM/25-26/1473 30/07/2025 | Serial | 013 |
| Patient Name | Mrs. SNEHA MONDAL | Contact No | 8777368152 |
| Address | 105C N.N. COLONY | Age | 23 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||