Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08565 | Date 17/01/2025 |
| Token No | SM/24-25/34244 17/01/2025 | Serial | 002 |
| Patient Name | Mrs. SHIKHA CHATTERJEE | Contact No | 8910014980 |
| Address | 30 MAHESH JAN NAGAR ROAD SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||