Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05637 | Date 10/11/2023 |
| Token No | SM/25-26/12240 20/12/2025 | Serial | 080 |
| Patient Name | Miss SIMA SINGH | Contact No | 8697136784 |
| Address | 20/H D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||