Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10593 | Date 02/03/2026 |
| Token No | SM/25-26/15432 02/03/2026 | Serial | 008 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 9046123294 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 31 Years,5 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||