Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13484 | Date 08/09/2025 |
| Token No | SM/25-26/1933 08/09/2025 | Serial | 005 |
| Patient Name | Mrs. RUNU JANA | Contact No | 7557871377 |
| Address | THAKURBATI STREET | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||