Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10976 | Date 10/08/2026 |
| Token No | SM/25-26/22649 26/10/2026 | Serial | 039 |
| Patient Name | Mrs. RUMITA DAS | Contact No | 9875330921 |
| Address | 83 NEW MAHESH SSERAMPORE 712203 | Age | 32 Years,2 Months,28 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||