Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10322 | Date 22/12/2025 |
| Token No | SM/25-26/12254 22/12/2025 | Serial | 014 |
| Patient Name | Mrs. PURNIMA JANA | Contact No | 9831596066 |
| Address | 34/B/20 B B GHOSH ROAD SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||