Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06755 | Date 10/05/2024 |
| Token No | SM/25-26/270 05/04/2025 | Serial | 016 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9749471634 |
| Address | AMLAI MURSHIDABAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||