Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08623 | Date 29/01/2025 |
| Token No | SM/24-25/34847 29/01/2025 | Serial | 076 |
| Patient Name | Miss SWASTIKA ROY | Contact No | 9260535061 |
| Address | 13/2 B B GHOSH ROAD MAA SARADA PALLY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||