Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 09121 | Date 17/04/2025 |
| Token No | SM/25-26/12135 18/12/2025 | Serial | 048 |
| Patient Name | Mrs. NILIMA BISWAS | Contact No | 7059677121 |
| Address | 2 NO RAI LAND ROAD SERAMPORE MAHESH 712202 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||