Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03438 | Date 19/11/2019 |
| Token No | SM/22-23/4314 04/08/2022 | Serial | 028 |
| Patient Name | Mrs. MALABIKA SAHA | Contact No | 9231970488 |
| Address | PARBATI COMPLEX, PACHUBABUR BAZAR | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||