Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13208 | Date 07/07/2025 |
| Token No | SM/25-26/1102 07/07/2025 | Serial | 006 |
| Patient Name | Mrs. SHANTIRAM CHATTERJEE | Contact No | 8017289263 |
| Address | 10A.B. GARDEN LANE | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||