Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08034 | Date 17/10/2024 |
| Token No | SM/24-25/33891 08/01/2025 | Serial | 042 |
| Patient Name | Mrs. SHIPRA SEN BOSU | Contact No | 9679361542 |
| Address | 65/7/A PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||