Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 10013 | Date 26/09/2025 |
| Token No | SM/25-26/8617 26/09/2025 | Serial | 022 |
| Patient Name | Mrs. SHIKHA DAS | Contact No | 9007815167 |
| Address | BARASAT JELEPARA CHANDANAGAR CHINSURAH MAGRA 712136 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||