Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10333 | Date 27/12/2025 |
| Token No | SM/25-26/12384 27/12/2025 | Serial | 004 |
| Patient Name | Mrs. SEKH MARJINA BIBI | Contact No | |
| Address | 61 A DHARMATALA LANE UTTARPARA HOOGHLY | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||