Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12789 | Date 17/03/2025 |
| Token No | SM/24-25/21438 22/03/2025 | Serial | 004 |
| Patient Name | Mrs. ANJALI CHAKRABORTY | Contact No | 9775013596 |
| Address | KONNAGAR | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||