Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13803 | Date 01/12/2025 |
| Token No | SM/25-26/2827 01/12/2025 | Serial | 011 |
| Patient Name | Mrs. AMBIKA RAJBHAR | Contact No | 9831165762 |
| Address | SERAMPORE 27 BAZAR BYE LANE | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||