Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06395 | Date 08/03/2024 |
| Token No | SM/24-25/36754 10/03/2025 | Serial | 086 |
| Patient Name | Mrs. RINA HARI | Contact No | 8584994799 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||