Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04902 | Date 22/08/2023 |
| Token No | SM/25-26/7942 13/09/2025 | Serial | 012 |
| Patient Name | Mrs. ARATI DEVI RAJBHAR | Contact No | 9339822857 |
| Address | GURU GARDEN ROAD SERAMPORE M 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||