Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12900 | Date 21/04/2025 |
| Token No | SM/25-26/184 21/04/2025 | Serial | 029 |
| Patient Name | Mrs. URMILA DEVI | Contact No | 6289514973 |
| Address | DEY GHAT LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||