Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13431 | Date 01/09/2025 |
| Token No | SM/25-26/1801 01/09/2025 | Serial | 001 |
| Patient Name | Mrs. SUMITA ROY | Contact No | 9073141042 |
| Address | 45 PANCHANANTALA LANE | Age | 32 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||