Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12401 | Date 27/11/2024 |
| Token No | SM/25-26/1599 08/08/2025 | Serial | 008 |
| Patient Name | Mrs. MADHUMITA DAS MANNA | Contact No | 9804451143 |
| Address | 70 NEHERU NAGAR COLONY | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||