Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13499 | Date 10/09/2025 |
| Token No | SM/25-26/1975 10/09/2025 | Serial | 002 |
| Patient Name | Mrs. SIMA CHATTERJEE. | Contact No | 7890916580 |
| Address | 17 THAKUR BATI STREET | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||