Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10012 | Date 26/09/2025 |
| Token No | SM/25-26/8613 26/09/2025 | Serial | 018 |
| Patient Name | Mrs. MONI BISWAS | Contact No | 9163193232 |
| Address | 14/A B P DEY STREET SERAMPORE 712201 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||