Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08615 | Date 29/01/2025 |
| Token No | SM/24-25/34776 29/01/2025 | Serial | 005 |
| Patient Name | Mrs. GOURI BISWAS | Contact No | |
| Address | JANNAGAR ROAD SERAMPORE 712201 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||