Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09948 | Date 12/09/2025 |
| Token No | SM/25-26/9809 01/11/2025 | Serial | 034 |
| Patient Name | Mrs. PRIYANKA DEWAN | Contact No | 9734701635 |
| Address | SRIRAMPUR KALNA P BDN 713409 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 96/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||