Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10914 | Date 18/05/2026 |
| Token No | SM/25-26/22652 26/10/2026 | Serial | 042 |
| Patient Name | Mrs. MADHURI KOSTA | Contact No | 9433358646 |
| Address | B B GHOSH ROAD SERAMPORE M 712203 | Age | 19 Years,5 Months,26 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||