Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13602 | Date 11/10/2025 |
| Token No | SM/25-26/2261 11/10/2025 | Serial | 016 |
| Patient Name | Miss REKHA DAS | Contact No | 8910403492 |
| Address | JANNAGAR ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||