Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13164 | Date 25/06/2025 |
| Token No | SM/25-26/978 25/06/2025 | Serial | 032 |
| Patient Name | Mrs. CHHAYA RANI SAHA | Contact No | 8274099811 |
| Address | 111 N N COLONY | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||