Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10279 | Date 08/12/2025 |
| Token No | SM/25-26/11684 08/12/2025 | Serial | 056 |
| Patient Name | Mrs. GITA DAS | Contact No | |
| Address | SERAMPORE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||