Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12947 | Date 02/05/2025 |
| Token No | SM/25-26/332 02/05/2025 | Serial | 010 |
| Patient Name | Mrs. URMILA DEBI | Contact No | 6209708402 |
| Address | DEY GHAT LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||