Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13802 | Date 01/12/2025 |
| Token No | SM/25-26/2826 01/12/2025 | Serial | 010 |
| Patient Name | Mrs. MEENA | Contact No | 9831326817 |
| Address | J.N. LAHIRI ROAD | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||