Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10074 | Date 16/10/2025 |
| Token No | SM/25-26/9264 16/10/2025 | Serial | 064 |
| Patient Name | Mrs. PRATIMA HALDER | Contact No | 8334016173 |
| Address | 65/25/20 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||