Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10542 | Date 19/02/2026 |
| Token No | SM/25-26/15430 02/03/2026 | Serial | 006 |
| Patient Name | Mrs. MAMANI BHUIYA | Contact No | 7044150586 |
| Address | BLOCK C B B GHOSH ROAD SERAMPORE 712203 | Age | 19 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 80/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||