Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06146 | Date 01/02/2024 |
| Token No | SM/24-25/33558 02/01/2025 | Serial | 021 |
| Patient Name | Miss MOUSUMI KUMARI | Contact No | 9123048228 |
| Address | 13/17 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||