Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03384 | Date 12/12/2022 |
| Token No | SM/24-25/36809 11/03/2025 | Serial | 038 |
| Patient Name | Mrs. SHAMPA DAS | Contact No | 8478001629 |
| Address | 9/A/1 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||