Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00877 | Date 06/02/2020 |
| Token No | SM/25-26/4558 11/07/2025 | Serial | 013 |
| Patient Name | Mrs. RAKHI CHATTERJEE | Contact No | 8617224392 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||