Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12991 | Date 15/05/2025 |
| Token No | SM/25-26/451 15/05/2025 | Serial | 002 |
| Patient Name | Mrs. MANJARI NANDI | Contact No | 8622862475 |
| Address | 47/A PANDIT KALINATH BHATTACHARJEE STREET | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||