Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10078 | Date 17/10/2025 |
| Token No | SM/25-26/9504 24/10/2025 | Serial | 030 |
| Patient Name | Mrs. RANI KUMARI | Contact No | 9163015024 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||