Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13693 | Date 03/11/2025 |
| Token No | SM/25-26/2480 03/11/2025 | Serial | 016 |
| Patient Name | Miss KAJAL KHATIK | Contact No | 9163353561 |
| Address | 79 DEY STREET | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||