Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12854 | Date 04/04/2025 |
| Token No | SM/25-26/40 04/04/2025 | Serial | 001 |
| Patient Name | Mrs. MANISHA PRADHAN | Contact No | 6289349437 |
| Address | 8/426 COCKRAIN ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||