Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09826 | Date 28/08/2025 |
| Token No | SM/25-26/7002 28/08/2025 | Serial | 011 |
| Patient Name | Mrs. CHANDANA BASAK | Contact No | 8584872146 |
| Address | 129 NEW MAHESH SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||