Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06453 | Date 21/03/2024 |
| Token No | SM/24-25/35769 17/02/2025 | Serial | 044 |
| Patient Name | Miss TIYASA SARKAR | Contact No | 8902366790 |
| Address | 65/25/13/A PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||