Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13741 | Date 17/11/2025 |
| Token No | SM/25-26/2660 17/11/2025 | Serial | 024 |
| Patient Name | Mrs. PAMPA DAS | Contact No | 6290132648 |
| Address | 650/A G.T. ROAD, KALITALA | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||