Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13253 | Date 19/07/2025 |
| Token No | SM/25-26/1284 19/07/2025 | Serial | 003 |
| Patient Name | Mrs. KAKALI CHATTERJEE.,. | Contact No | 9051922351 |
| Address | 32A PANCHANAN TALA LANE | Age | 52 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||