Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05901 | Date 23/05/2022 |
| Token No | SM/25-26/750 11/06/2025 | Serial | 013 |
| Patient Name | Mrs. KAMINI SARKAR | Contact No | 9239815909 |
| Address | 30/1 BOSE PARA LANE | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||