Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07174 | Date 10/10/2022 |
| Token No | SM/25-26/2761 26/11/2025 | Serial | 001 |
| Patient Name | Mrs. CHAITALI DEY | Contact No | 9339587938 |
| Address | 21 pandit kalinath bhattacharyya street | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||