Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13465 | Date 03/09/2025 |
| Token No | SM/25-26/1878 03/09/2025 | Serial | 013 |
| Patient Name | Mrs. MANABI BISWAS | Contact No | 9836083879 |
| Address | 2 KASHI DOCTOR LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||