Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01887 | Date 10/06/2022 |
| Token No | SM/25-26/12076 17/12/2025 | Serial | 023 |
| Patient Name | Mrs. SUNITA RABIDAS | Contact No | 6289748794 |
| Address | 3/1/B D CRUZE GARDEN ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||