Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09563 | Date 06/07/2023 |
| Token No | SM/24-25/20990 17/02/2025 | Serial | 010 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 9635168736 |
| Address | 3 LALIT MOHON BHATTACHARYA STREET | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||