Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12510 | Date 08/01/2025 |
| Token No | SM/24-25/20415 08/01/2025 | Serial | 007 |
| Patient Name | Mrs. KEKA CHATTERJEE | Contact No | 7031844778 |
| Address | BOTTALA SERAMPORE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||