Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11058 | Date 22/01/2024 |
| Token No | SM/25-26/791 12/06/2025 | Serial | 016 |
| Patient Name | Mrs. JHARNA CHATTERJEE | Contact No | 9051700026 |
| Address | 150/1 THAKUR BATI STREET | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||