Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06555 | Date 09/04/2024 |
| Token No | SM/24-25/36240 28/02/2025 | Serial | 051 |
| Patient Name | Mrs. PUNAM BHUIYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||