Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09713 | Date 08/08/2025 |
| Token No | SM/25-26/6071 08/08/2025 | Serial | 025 |
| Patient Name | Mrs. KAKALI SARKAR | Contact No | 9088127308 |
| Address | 8/A/1/A D N B SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||