Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06262 | Date 30/06/2022 |
| Token No | SM/25-26/3049 19/12/2025 | Serial | 005 |
| Patient Name | Miss SNIGDHA SAHA | Contact No | 9231970488 |
| Address | PACHU BABU BAZAR | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||