Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13345 | Date 07/08/2025 |
| Token No | SM/25-26/1559 07/08/2025 | Serial | 003 |
| Patient Name | Mrs. JHUM MUKHERJEE | Contact No | 7003739394 |
| Address | 148 T B STREET | Age | 53 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||