Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12878 | Date 10/04/2025 |
| Token No | SM/25-26/114 10/04/2025 | Serial | 005 |
| Patient Name | Mrs. JYOTSNA BHATTACHARJEE. | Contact No | 9051612198 |
| Address | 82 THAKUR BATI STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||