Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09508 | Date 26/06/2025 |
| Token No | SM/25-26/4056 26/06/2025 | Serial | 076 |
| Patient Name | Mrs. GEETA KUMARI DAS | Contact No | 7481016699 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||