Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13568 | Date 23/09/2025 |
| Token No | SM/25-26/2172 23/09/2025 | Serial | 009 |
| Patient Name | Mrs. MEGHA PAL | Contact No | 9883664541 |
| Address | 60/A DEY STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||