Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06830 | Date 22/05/2024 |
| Token No | SM/25-26/1176 25/04/2025 | Serial | 009 |
| Patient Name | Mrs. SNEHA DEBNATH | Contact No | 9088161841 |
| Address | 20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||