Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13642 | Date 21/10/2025 |
| Token No | SM/25-26/2349 21/10/2025 | Serial | 002 |
| Patient Name | Mrs. SOMA KAR. | Contact No | 9051537534 |
| Address | 118 G T ROAD,MANIKTALA | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||