Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05774 | Date 01/12/2023 |
| Token No | SM/24-25/34644 25/01/2025 | Serial | 019 |
| Patient Name | Mrs. SANGAM BHARTI | Contact No | 8240101154 |
| Address | 13/66 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||