Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11613 | Date 05/06/2024 |
| Token No | SM/25-26/695 09/06/2025 | Serial | 011 |
| Patient Name | Mrs. DOLI BHATTACHERJEE | Contact No | 9051612198 |
| Address | 82 T B STREET | Age | 53 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||