Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13560 | Date 22/09/2025 |
| Token No | SM/25-26/2153 22/09/2025 | Serial | 008 |
| Patient Name | Mrs. ESTHER | Contact No | 8729910797 |
| Address | SERAMPORE COLLEGE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||