Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13067 | Date 04/06/2025 |
| Token No | SM/25-26/639 04/06/2025 | Serial | 004 |
| Patient Name | Mrs. RIMPA MONDAL | Contact No | 8889574426 |
| Address | 40/A NABAKRISHNA GUIN LANE | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||