Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09756 | Date 14/08/2025 |
| Token No | SM/25-26/6522 18/08/2025 | Serial | 060 |
| Patient Name | Mrs. ANITA SAW | Contact No | 8777089054 |
| Address | 1/E RAILAND ROAD SERAMPORE MAHESH 1 712202 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||