Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11880 | Date 01/08/2024 |
| Token No | SM/25-26/804 12/06/2025 | Serial | 029 |
| Patient Name | Mrs. PUTUL CHATTERJEE | Contact No | 9477931545 |
| Address | 95A THAKURBATI STREET | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||