Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10051 | Date 11/10/2025 |
| Token No | SM/25-26/9140 15/10/2025 | Serial | 029 |
| Patient Name | Mrs. SOMA DAS | Contact No | 7439631015 |
| Address | 97/A PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||