Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13381 | Date 14/08/2025 |
| Token No | SM/25-26/1676 14/08/2025 | Serial | 008 |
| Patient Name | Mrs. POULAMI GANGULY | Contact No | 9875474683 |
| Address | 28E PANCHANAN TALA LANE | Age | 44 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||