Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09406 | Date 05/06/2025 |
| Token No | SM/25-26/5887 06/08/2025 | Serial | 005 |
| Patient Name | Miss KHUSHI MONDAL | Contact No | 6290359982 |
| Address | 88/B S K NAGAR PRAVASHNAGAR RISHRA M 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||