Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13291 | Date 25/07/2025 |
| Token No | SM/25-26/1388 25/07/2025 | Serial | 001 |
| Patient Name | Mrs. DIPTI CHATTERJEE | Contact No | 7278893948 |
| Address | 8/A AKHNA CHOWDHURY PARA | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||