Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10146 | Date 06/11/2025 |
| Token No | SM/25-26/10043 06/11/2025 | Serial | 040 |
| Patient Name | Mrs. DIPALI SINGHA | Contact No | 7596923407 |
| Address | 24/A/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||