Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13471 | Date 04/09/2025 |
| Token No | SM/25-26/1897 04/09/2025 | Serial | 007 |
| Patient Name | Miss SATHI KOLAY | Contact No | 6289981514 |
| Address | 39 S.B. GHOSH LANE | Age | 18 YRS+ Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||