Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10126 | Date 03/11/2025 |
| Token No | SM/25-26/10025 06/11/2025 | Serial | 022 |
| Patient Name | Miss DURGA SARDAR | Contact No | 8622987630 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||