Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12693 | Date 24/02/2025 |
| Token No | SM/25-26/1568 07/08/2025 | Serial | 012 |
| Patient Name | Mrs. NUPUR MONDAL | Contact No | 9903374587 |
| Address | 17D B L C MILLS ROAD | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||