Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13599 | Date 11/10/2025 |
| Token No | SM/25-26/2253 11/10/2025 | Serial | 008 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 8100185982 |
| Address | 14 J.N. LAHIRI ROAD | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||