Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11600 | Date 03/06/2024 |
| Token No | SM/25-26/1861 02/09/2025 | Serial | 013 |
| Patient Name | Mrs. LAKKHI DEBI | Contact No | 9875328341 |
| Address | 2 GOPAL GANGULY LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||