Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12264 | Date 24/10/2024 |
| Token No | SM/24-25/21244 08/03/2025 | Serial | 003 |
| Patient Name | Mrs. POUSALI DEY | Contact No | 9830079389 |
| Address | 62/2/1 ITCHAPUR ROAD (GOPAL GANGULY LANE, WARD-13) | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||