Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08645 | Date 24/03/2023 |
| Token No | SM/25-26/1258 17/07/2025 | Serial | 004 |
| Patient Name | Mrs. PRATIMA KUNDU | Contact No | 7450863360 |
| Address | 27 DHULIPARA | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||