Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10264 | Date 03/12/2025 |
| Token No | SM/25-26/11397 03/12/2025 | Serial | 029 |
| Patient Name | Mrs. UMA BAG | Contact No | 9163494161 |
| Address | 3/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||