Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05379 | Date 09/10/2023 |
| Token No | SM/25-26/11513 06/12/2025 | Serial | 011 |
| Patient Name | Miss KANGKANA DAS | Contact No | 9830848458 |
| Address | 65/25/23 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||