Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02047 | Date 10/05/2019 |
| Token No | SM/25-26/1430 28/07/2025 | Serial | 021 |
| Patient Name | Mrs. SONALI CHATTERJEE. | Contact No | 9874335083 |
| Address | NALIKUL | Age | 49 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||