Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13304 | Date 28/07/2025 |
| Token No | SM/25-26/1410 28/07/2025 | Serial | 001 |
| Patient Name | Miss JOYEETA CHATTERJEE | Contact No | 8902476365 |
| Address | 4 RUDRA RAM PANDIT LANE | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||