Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13692 | Date 03/11/2025 |
| Token No | SM/25-26/2478 03/11/2025 | Serial | 014 |
| Patient Name | Mrs. SUNANDA DAS | Contact No | 9330032624 |
| Address | 8/440 N.L. BHATTACHARYA STREET | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||