Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12908 | Date 23/04/2025 |
| Token No | SM/25-26/202 23/04/2025 | Serial | 013 |
| Patient Name | Mrs. PAYEL ROY | Contact No | 9330013550 |
| Address | 30K S.B. GHOSH LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||