Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05881 | Date 19/05/2022 |
| Token No | SM/25-26/808 12/06/2025 | Serial | 033 |
| Patient Name | Mrs. ARATI KUNDU | Contact No | 7278404250 |
| Address | 6C BECHU DEY LANE | Age | 61 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||