Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08448 | Date 24/12/2024 |
| Token No | SM/25-26/6948 27/08/2025 | Serial | 022 |
| Patient Name | Mrs. INDRABATI PANDIT | Contact No | |
| Address | NAIHATI NORTH 24 PRGS | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||