Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 13352 | Date 07/08/2025 |
| Token No | SM/25-26/1569 07/08/2025 | Serial | 013 |
| Patient Name | Mrs. BASABI KOIRY | Contact No | 9163923176 |
| Address | 23/C BLC MILLS BYE LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||