Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13107 | Date 12/06/2025 |
| Token No | SM/25-26/798 12/06/2025 | Serial | 023 |
| Patient Name | Mrs. ASMITA BANERJEE | Contact No | 8820910836 |
| Address | 2 PANDIT KALINATH BHATTACHARJEE STREET | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||