Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08129 | Date 30/10/2024 |
| Token No | SM/24-25/36745 10/03/2025 | Serial | 077 |
| Patient Name | Mrs. PIU DAS BHUIYA | Contact No | 7044695807 |
| Address | 8/A/2/4/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||