Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10101 | Date 28/10/2025 |
| Token No | SM/25-26/9593 28/10/2025 | Serial | 010 |
| Patient Name | Mrs. MINATI DASGUPTA | Contact No | 8413856985 |
| Address | 3 NO BUILDING 2ND FLOOR SRIDHAR BIHAR SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||