Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13685 | Date 03/11/2025 |
| Token No | SM/25-26/2467 03/11/2025 | Serial | 003 |
| Patient Name | Mrs. ARATI DAS | Contact No | 8777803972 |
| Address | 26A DHULIPARA LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||