Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13612 | Date 13/10/2025 |
| Token No | SM/25-26/2277 13/10/2025 | Serial | 013 |
| Patient Name | Mrs. SASWATI SADHUKHAN | Contact No | 7003899560 |
| Address | LIBRARY LANE | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||