Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10042 | Date 09/10/2025 |
| Token No | SM/25-26/8875 09/10/2025 | Serial | 059 |
| Patient Name | Mrs. TULU NANDI | Contact No | |
| Address | 76 K M SHA STREET SERAMPORE 712201 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||