Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13398 | Date 18/08/2025 |
| Token No | SM/25-26/1706 18/08/2025 | Serial | 006 |
| Patient Name | Mrs. SAKILA PARVEEN | Contact No | 8335974881 |
| Address | 30 DEY STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||