Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13124 | Date 16/06/2025 |
| Token No | SM/25-26/842 16/06/2025 | Serial | 007 |
| Patient Name | Miss NIKHAT PARVEEN | Contact No | 9874606552 |
| Address | 34/1 GANDHI SRAT RISHRA HOOGHLY | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||