Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13081 | Date 09/06/2025 |
| Token No | SM/25-26/694 09/06/2025 | Serial | 010 |
| Patient Name | Mrs. RUMA BHATTACHARYA | Contact No | 9836370412 |
| Address | 42 S B GHOSH LANE | Age | 59 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||