Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08989 | Date 28/03/2025 |
| Token No | SM/24-25/37592 28/03/2025 | Serial | 038 |
| Patient Name | Mrs. ALPANA BAG | Contact No | 9007795638 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||