Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08827 | Date 06/03/2025 |
| Token No | SM/24-25/36453 06/03/2025 | Serial | 059 |
| Patient Name | Mrs. BINITA KUMARI | Contact No | |
| Address | SERAMPORE | Age | 18 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||