Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03271 | Date 28/11/2022 |
| Token No | SM/25-26/11749 10/12/2025 | Serial | 008 |
| Patient Name | Miss RIYANKA SAHA | Contact No | 9007324732 |
| Address | 35/C SUKANTA PALLY SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||