Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13900 | Date 29/12/2025 |
| Token No | SM/25-26/3112 29/12/2025 | Serial | 018 |
| Patient Name | Mrs. NITU DEBI | Contact No | 9073781613 |
| Address | 10 M.G. ROAD | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||