Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11785 | Date 13/07/2024 |
| Token No | SM/25-26/2515 05/11/2025 | Serial | 001 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9830213656 |
| Address | 86/1/A DEY STREET | Age | 59 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||