Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13355 | Date 07/08/2025 |
| Token No | SM/25-26/1577 07/08/2025 | Serial | 021 |
| Patient Name | Mrs. CHANDNI CHAUDHURI | Contact No | 7439772194 |
| Address | 1 AUDDY LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||