Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12888 | Date 17/04/2025 |
| Token No | SM/25-26/647 04/06/2025 | Serial | 012 |
| Patient Name | Mrs. ARTI DEBI | Contact No | 8583960223 |
| Address | 24 BLC MILLS ROAD. | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||