Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13432 | Date 01/09/2025 |
| Token No | SM/25-26/1803 01/09/2025 | Serial | 003 |
| Patient Name | Mrs. CHITRA MANNA | Contact No | 9804773796 |
| Address | BHAGIRATHI LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||