Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13486 | Date 08/09/2025 |
| Token No | SM/25-26/1968 09/09/2025 | Serial | 011 |
| Patient Name | Mrs. TUMPA RUIDAS | Contact No | 9875495416 |
| Address | 46/4 BHAGIRATHI LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||