Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09827 | Date 28/08/2025 |
| Token No | SM/25-26/7007 28/08/2025 | Serial | 016 |
| Patient Name | Mrs. RITA BHUIYA | Contact No | 9330376978 |
| Address | J N LAHIRI ROAD SERAMPORE 712202 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||