Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08606 | Date 25/01/2025 |
| Token No | SM/24-25/34679 25/01/2025 | Serial | 054 |
| Patient Name | Mrs. SOMASHRI DAS | Contact No | 6291861631 |
| Address | 9 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||