Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06014 | Date 05/01/2024 |
| Token No | SM/24-25/32771 14/12/2024 | Serial | 025 |
| Patient Name | Mrs. SONAMONI DAS | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||