Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13135 | Date 18/06/2025 |
| Token No | SM/25-26/888 18/06/2025 | Serial | 023 |
| Patient Name | Mrs. BARNALI SEN | Contact No | 6291689211 |
| Address | 149 T B STREET | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||