Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13332 | Date 01/08/2025 |
| Token No | SM/25-26/1507 01/08/2025 | Serial | 001 |
| Patient Name | Mrs. RINKU KUMARI DAS | Contact No | 8871924288 |
| Address | RUDRA RAM PANDIT LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||