Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08674 | Date 30/03/2023 |
| Token No | SM/25-26/1245 16/07/2025 | Serial | 015 |
| Patient Name | Mrs. SOBHA NANDI | Contact No | 9804647480 |
| Address | 4A PITAMBAR DEY LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||