Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13774 | Date 24/11/2025 |
| Token No | SM/25-26/2744 24/11/2025 | Serial | 031 |
| Patient Name | Mrs. BABLI CHAKRABORTY | Contact No | 6290501937 |
| Address | 60 S B GHOSH LANE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||