Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09808 | Date 25/08/2025 |
| Token No | SM/25-26/6855 25/08/2025 | Serial | 089 |
| Patient Name | Miss PURNIMA DAS | Contact No | 9163904721 |
| Address | 65/11 PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||