Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10207 | Date 22/11/2025 |
| Token No | SM/25-26/12207 20/12/2025 | Serial | 047 |
| Patient Name | Miss SOMA DAS | Contact No | 8017329341 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/90 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||