Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09861 | Date 01/09/2025 |
| Token No | SM/25-26/7462 04/09/2025 | Serial | 034 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 9051855977 |
| Address | 16 NEW MAHESH SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||