Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10034 | Date 09/10/2025 |
| Token No | SM/25-26/8965 11/10/2025 | Serial | 031 |
| Patient Name | Mrs. ANJALI DAS | Contact No | 9230393660 |
| Address | 16 NEW MAHESH SERAMPORE 712203 | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||