Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10856 | Date 07/05/2026 |
| Token No | SM/25-26/20691 28/08/2026 | Serial | 011 |
| Patient Name | Mrs. SWARNA HALDER | Contact No | 9163176245 |
| Address | 43/14/2/A GURU GARDEN ROADPRAVASHNAGAR SERAMPORE 712249 | Age | 28 Years,1 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||