Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12534 | Date 16/01/2025 |
| Token No | SM/24-25/20532 16/01/2025 | Serial | 009 |
| Patient Name | Mrs. SIPRA GANGULY | Contact No | 8697546572 |
| Address | 13 DEY STREET | Age | 74 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||