Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10043 | Date 10/10/2025 |
| Token No | SM/25-26/11300 01/12/2025 | Serial | 028 |
| Patient Name | Mrs. SHIBANI BHUIYA | Contact No | 9007671009 |
| Address | BLOCK C B B GHOSH ROAD SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||