Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05317 | Date 03/10/2023 |
| Token No | SM/24-25/35336 07/02/2025 | Serial | 048 |
| Patient Name | Miss LAKSHMI DAS | Contact No | 6291701296 |
| Address | SOCIRTY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||