Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13193 | Date 02/07/2025 |
| Token No | SM/25-26/1381 24/07/2025 | Serial | 020 |
| Patient Name | Mrs. PRITI SHAW | Contact No | 8777823253 |
| Address | 177/A S.N. ROY ROAD, KOLKATA (LOCAL WARD 12) | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||