Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01805 | Date 01/06/2022 |
| Token No | SM/25-26/4570 11/07/2025 | Serial | 025 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | 8777477002 |
| Address | FULUI FULUI HOOGHLY 712122 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||