Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13587 | Date 10/10/2025 |
| Token No | SM/25-26/2235 10/10/2025 | Serial | 003 |
| Patient Name | Mrs. ARATI KUNDU | Contact No | 9477363884 |
| Address | 25A KHASBAGAN LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||