Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08819 | Date 03/03/2025 |
| Token No | SM/24-25/36318 03/03/2025 | Serial | 026 |
| Patient Name | Mrs. SIPRA DEY | Contact No | 9163018550 |
| Address | 65/7/4 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||