Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12512 | Date 09/01/2025 |
| Token No | SM/24-25/20423 09/01/2025 | Serial | 004 |
| Patient Name | Mrs. MALATI PRAMANIK | Contact No | |
| Address | 7A KAILASH CHATTERJEE LANE | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||