Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09712 | Date 08/08/2025 |
| Token No | SM/25-26/6068 08/08/2025 | Serial | 022 |
| Patient Name | Mrs. MITHU DEY | Contact No | 8697184917 |
| Address | 65/25/42/A M J ROAD SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||