Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08853 | Date 08/03/2025 |
| Token No | SM/24-25/36647 08/03/2025 | Serial | 057 |
| Patient Name | Mrs. SWETA SANTRA | Contact No | 6290906897 |
| Address | BARA BELU BELUMILKI HOOGHLY 712223 | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||