Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10592 | Date 01/03/2026 |
| Token No | SM/25-26/15422 01/03/2026 | Serial | 025 |
| Patient Name | Mrs. LAKHI DUTTA | Contact No | |
| Address | SERAMPORE | Age | 65 Years,2 Months,28 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||