Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08824 | Date 24/04/2023 |
| Token No | SM/25-26/1935 08/09/2025 | Serial | 007 |
| Patient Name | Mrs. BASANTI PAL | Contact No | 8777787965 |
| Address | 44/1/E DR. N L BHATTACHARJEE STREET | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||