Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10577 | Date 26/02/2026 |
| Token No | SM/25-26/15405 01/03/2026 | Serial | 008 |
| Patient Name | Mrs. RINA SINGH | Contact No | 9088787397 |
| Address | 10 NEW MAHESH SERAMPORE 712203 | Age | 61 Years,2 Months,28 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||