Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06818 | Date 17/05/2024 |
| Token No | SM/25-26/1008 22/04/2025 | Serial | 023 |
| Patient Name | Mrs. KAJAL HARIJAN | Contact No | 8961450979 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||