Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10332 | Date 26/12/2025 |
| Token No | SM/25-26/12380 26/12/2025 | Serial | 016 |
| Patient Name | Mrs. RUMA ROY | Contact No | |
| Address | SERAMPORE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||