Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10314 | Date 18/12/2025 |
| Token No | SM/25-26/12130 18/12/2025 | Serial | 043 |
| Patient Name | Mrs. BINITA KUMARI | Contact No | 8100315914 |
| Address | 18 A T GHOSH ROAD NAIHATI M N24 PRGS 743166 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||