Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06471 | Date 23/03/2024 |
| Token No | SM/24-25/35850 19/02/2025 | Serial | 015 |
| Patient Name | Mrs. RUPA SARKAR | Contact No | 7439680533 |
| Address | HARIJAN BASTI B B GHOS ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||