Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09920 | Date 10/09/2025 |
| Token No | SM/25-26/7692 10/09/2025 | Serial | 011 |
| Patient Name | Mrs. ARCHANA ADHIKARI | Contact No | |
| Address | SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||