Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13459 | Date 03/09/2025 |
| Token No | SM/25-26/1867 03/09/2025 | Serial | 002 |
| Patient Name | Mrs. RADHIKA DEBI | Contact No | 7980883609 |
| Address | 11 DEY STREET | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||