Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03371 | Date 09/12/2022 |
| Token No | SM/25-26/8621 26/09/2025 | Serial | 026 |
| Patient Name | Mrs. SARASWATI DAS | Contact No | 9330372959 |
| Address | SOCIETY MATH SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||