Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04448 | Date 07/06/2021 |
| Token No | SM/24-25/21495 29/03/2025 | Serial | 015 |
| Patient Name | Miss RANJANA GANGULY | Contact No | NOT GIVEN |
| Address | PACHU BABUR BAZAR | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||