Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13110 | Date 12/06/2025 |
| Token No | SM/25-26/803 12/06/2025 | Serial | 028 |
| Patient Name | Mrs. AFSANA BEGUM | Contact No | 6291013412 |
| Address | 41 K.M. BHATTACHARJEE STREET | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||