Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10271 | Date 06/12/2025 |
| Token No | SM/25-26/11555 06/12/2025 | Serial | 053 |
| Patient Name | Mrs. RITA SINGH | Contact No | 7278736488 |
| Address | 168 D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||