Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13436 | Date 01/09/2025 |
| Token No | SM/25-26/1813 01/09/2025 | Serial | 013 |
| Patient Name | Mrs. RANI DAS | Contact No | 9477459132 |
| Address | 10N DEY STREET | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||