Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13154 | Date 25/06/2025 |
| Token No | SM/25-26/966 25/06/2025 | Serial | 020 |
| Patient Name | Miss LABONI NANDI | Contact No | 6290811176 |
| Address | 6/A L M BHATTACHARJEE STREET | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||