Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10299 | Date 13/12/2025 |
| Token No | SM/25-26/12196 20/12/2025 | Serial | 036 |
| Patient Name | Mrs. KAVITA KUMARI | Contact No | 7250390470 |
| Address | 13/86B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||