Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10091 | Date 22/10/2025 |
| Token No | SM/25-26/9449 22/10/2025 | Serial | 040 |
| Patient Name | Mrs. PIU DUTTA | Contact No | 6289299115 |
| Address | 7/1 HARANATH PUR TENTULTALA UTTARPARA KOTRUNG 712232 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||