Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09400 | Date 04/06/2025 |
| Token No | SM/25-26/10764 21/11/2025 | Serial | 010 |
| Patient Name | Mrs. ARCHANA KUMARI BHUIYA | Contact No | 6393449327 |
| Address | BLOCK B B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||