Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08225 | Date 02/02/2023 |
| Token No | SM/25-26/1914 06/09/2025 | Serial | 002 |
| Patient Name | Mrs. SANTANA BOSE | Contact No | 9123901687 |
| Address | 14 K C CHATTERJEE LANE | Age | 52 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||