Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12874 | Date 09/04/2025 |
| Token No | SM/25-26/102 09/04/2025 | Serial | 009 |
| Patient Name | Mrs. NAMITA GUCHAIT | Contact No | 8697547087 |
| Address | 9 DINABANDHU CHATTERJEE LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||