Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04270 | Date 02/06/2023 |
| Token No | SM/24-25/36713 10/03/2025 | Serial | 045 |
| Patient Name | Mrs. SONIYA HARI | Contact No | 8276882143 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||