Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08572 | Date 17/01/2025 |
| Token No | SM/24-25/34279 17/01/2025 | Serial | 037 |
| Patient Name | Mrs. DIPIKA DAS | Contact No | 8910365471 |
| Address | 95/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||