Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13137 | Date 18/06/2025 |
| Token No | SM/25-26/892 18/06/2025 | Serial | 027 |
| Patient Name | Mrs. SAKILA BEGAM | Contact No | |
| Address | 23 DR. T P BHATTACHARYA STREET | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||