Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13162 | Date 25/06/2025 |
| Token No | SM/25-26/2615 13/11/2025 | Serial | 017 |
| Patient Name | Mrs. FIRDOSHI BEGUM | Contact No | 9007134067 |
| Address | 606 G T ROAD SERAMPORE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||