Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09847 | Date 30/08/2025 |
| Token No | SM/25-26/7196 01/09/2025 | Serial | 014 |
| Patient Name | Mrs. RADHARANI NAYEK | Contact No | 7364889484 |
| Address | 3/1 DECRUZE GARDEN LANE SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||