Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05799 | Date 05/12/2023 |
| Token No | SM/25-26/6244 12/08/2025 | Serial | 020 |
| Patient Name | Mrs. PRITI ROY | Contact No | 7980968923 |
| Address | 102 BHATTACHARJEE GARDEN BYE LANE BAIDYABATI M 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||