Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02452 | Date 09/07/2019 |
| Token No | SM/25-26/2781 26/11/2025 | Serial | 021 |
| Patient Name | Mrs. TAPATI DEY | Contact No | 9330050474 |
| Address | 19B A B GARDEN LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||