Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13644 | Date 21/10/2025 |
| Token No | SM/25-26/2353 21/10/2025 | Serial | 006 |
| Patient Name | Mrs. JUMERA BIBI | Contact No | 9331826540 |
| Address | 12 BANERJEE PARA | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||