Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11872 | Date 31/07/2024 |
| Token No | SM/25-26/760 11/06/2025 | Serial | 023 |
| Patient Name | Mrs. JHUMA BAG | Contact No | 8583031592 |
| Address | KALITALA, JANNAGAR ROAD | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||