Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07403 | Date 09/07/2024 |
| Token No | SM/25-26/1173 25/04/2025 | Serial | 006 |
| Patient Name | Mrs. RUPA DUTTA | Contact No | 8413856985 |
| Address | 1 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||