Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06002 | Date 03/06/2022 |
| Token No | SM/25-26/895 19/06/2025 | Serial | 002 |
| Patient Name | Miss SNEHA CHATTERJEE | Contact No | 9163317381 |
| Address | NALIKUL | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||