Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06221 | Date 09/02/2024 |
| Token No | SM/24-25/33808 07/01/2025 | Serial | 020 |
| Patient Name | Mrs. RAKCHA DAS | Contact No | 8697527916 |
| Address | 9/242 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||