Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09505 | Date 26/06/2025 |
| Token No | SM/25-26/5711 02/08/2025 | Serial | 025 |
| Patient Name | Mrs. NAMITA DHAR | Contact No | 7890367587 |
| Address | 22 JANNAGAR ROAD MAHESH-1 SERAMPORE 712202 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||