Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09060 | Date 15/05/2023 |
| Token No | SM/25-26/704 09/06/2025 | Serial | 020 |
| Patient Name | Mrs. ANJANA CHAKRABORTY | Contact No | 9674059831 |
| Address | 22A SHIBTALA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||