Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 13122 | Date 16/06/2025 |
| Token No | SM/25-26/837 16/06/2025 | Serial | 002 |
| Patient Name | Mrs. CHHAYA GUCHAIT | Contact No | 8697547087 |
| Address | 9 DINABANDHU CHATTERJEE LANE | Age | 61 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||