Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02415 | Date 08/08/2022 |
| Token No | SM/25-26/10805 22/11/2025 | Serial | 020 |
| Patient Name | Mrs. RIMA DAS | Contact No | 9330372959 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||