Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09985 | Date 20/09/2025 |
| Token No | SM/25-26/8270 20/09/2025 | Serial | 028 |
| Patient Name | Mrs. SUBHRA SENGUPTA | Contact No | 9330614257 |
| Address | 13 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||