Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04095 | Date 25/04/2023 |
| Token No | SM/25-26/5175 23/07/2025 | Serial | 016 |
| Patient Name | Mrs. ITI DAS | Contact No | 9051391627 |
| Address | 38 PRABASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||