Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13490 | Date 08/09/2025 |
| Token No | SM/25-26/1955 08/09/2025 | Serial | 027 |
| Patient Name | Mrs. SWAPNA CHATTERJEE | Contact No | 6290218806 |
| Address | 19 PANCHANAN TALA LANE | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||