Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09931 | Date 10/09/2025 |
| Token No | SM/25-26/7955 13/09/2025 | Serial | 025 |
| Patient Name | Mrs. PAPIYA DAS SARKAR | Contact No | 9875677823 |
| Address | 49 B B GHOSH ROAD SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||