Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10125 | Date 01/11/2025 |
| Token No | SM/25-26/11890 13/12/2025 | Serial | 035 |
| Patient Name | Mrs. MINA DAS | Contact No | 6290448973 |
| Address | 37/E JANNAGAR ROAD SERAMPORE 712201 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||