Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08570 | Date 16/03/2023 |
| Token No | SM/25-26/708 09/06/2025 | Serial | 024 |
| Patient Name | Mrs. NAMITA NAHA | Contact No | 7890490882 |
| Address | 46 DEY BAGAN | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||