Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12988 | Date 14/05/2025 |
| Token No | SM/25-26/448 14/05/2025 | Serial | 009 |
| Patient Name | Mrs. PURNIMA PAL | Contact No | 8820425870 |
| Address | S.B. GHOSH LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||