Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09511 | Date 30/06/2025 |
| Token No | SM/25-26/4139 30/06/2025 | Serial | 050 |
| Patient Name | Mrs. MINATY KSHTAPAL | Contact No | 8981641484 |
| Address | SHRIRAMBATI MAGURA HOOGHLY 712149 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||