Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13844 | Date 09/12/2025 |
| Token No | SM/25-26/2929 09/12/2025 | Serial | 002 |
| Patient Name | Miss PUSPA KUMARI | Contact No | 9576831706 |
| Address | JAILKHANA SERAMPORE | Age | 19 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||