Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08988 | Date 28/03/2025 |
| Token No | SM/24-25/37589 28/03/2025 | Serial | 035 |
| Patient Name | Mrs. SIMA SAHA | Contact No | 9073323512 |
| Address | 35/F B B GHOSH ROAD SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||