Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09878 | Date 03/09/2025 |
| Token No | SM/25-26/10263 10/11/2025 | Serial | 077 |
| Patient Name | Mrs. SANTOSHI DEVI | Contact No | 6291189200 |
| Address | 26/B PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 109/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||