Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09867 | Date 04/08/2023 |
| Token No | SM/24-25/21247 08/03/2025 | Serial | 006 |
| Patient Name | Mrs. SANDHYA ROY | Contact No | NOT GIVEN |
| Address | 6 KAILASH CHATTERJEE LANE | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||