Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09338 | Date 24/05/2025 |
| Token No | SM/25-26/3084 05/06/2025 | Serial | 042 |
| Patient Name | Miss SOHINI NAG | Contact No | 7076711412 |
| Address | B PHARI LANE BANKURA 722101 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||