Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10122 | Date 01/11/2025 |
| Token No | SM/25-26/9804 01/11/2025 | Serial | 029 |
| Patient Name | Mrs. MALATI GHOSH | Contact No | 9874748639 |
| Address | 218 53/E GHOSAL PARA NABAGRAM BAIDYABATI M 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||