Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13078 | Date 09/06/2025 |
| Token No | SM/25-26/687 09/06/2025 | Serial | 003 |
| Patient Name | Mrs. SNEHA PALIT | Contact No | 9647303945 |
| Address | JHAUTALA MORE, G C BHATTACHARJEE LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||