Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01821 | Date 03/06/2022 |
| Token No | SM/25-26/6138 11/08/2025 | Serial | 003 |
| Patient Name | Mrs. PAPIA NATH | Contact No | 9883786783 |
| Address | 72A/7 PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||