Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13248 | Date 17/07/2025 |
| Token No | SM/25-26/1288 19/07/2025 | Serial | 007 |
| Patient Name | Mrs. SARATHI CHAKRABORTY | Contact No | 6290700306 |
| Address | 43 PANCHANAN TALA LANR | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||