Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12840 | Date 02/04/2025 |
| Token No | SM/25-26/15 02/04/2025 | Serial | 014 |
| Patient Name | Mrs. ANJALI BOSE | Contact No | 7980755107 |
| Address | 46A AKHRABATI LANE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||