Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09900 | Date 08/09/2025 |
| Token No | SM/25-26/7573 08/09/2025 | Serial | 003 |
| Patient Name | Mrs. ILA CHAKRABORTY | Contact No | 9143614958 |
| Address | 43/32/A PRAVASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||