Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12737 | Date 06/03/2025 |
| Token No | SM/25-26/3041 18/12/2025 | Serial | 011 |
| Patient Name | Mrs. RATNA DEY | Contact No | 8583031592 |
| Address | JANNAGAR ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||