Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09431 | Date 11/06/2025 |
| Token No | SM/25-26/3381 11/06/2025 | Serial | 098 |
| Patient Name | Mrs. SANGITA SEN MONDAL | Contact No | |
| Address | SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||