Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08524 | Date 10/01/2025 |
| Token No | SM/24-25/35426 08/02/2025 | Serial | 063 |
| Patient Name | Mrs. KAMALA SAHA | Contact No | 6289247300 |
| Address | 20A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||