Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10176 | Date 15/11/2025 |
| Token No | SM/25-26/10479 15/11/2025 | Serial | 058 |
| Patient Name | Mrs. MAMATA GHOSAL | Contact No | 8017167523 |
| Address | 65/25/A MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||