Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10163 | Date 12/11/2025 |
| Token No | SM/25-26/10326 12/11/2025 | Serial | 034 |
| Patient Name | Mrs. SAPNA DAS | Contact No | 7449609804 |
| Address | BIDUPARA MURSHIDABAD 742163 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||