Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08019 | Date 14/10/2024 |
| Token No | SM/25-26/15446 02/03/2026 | Serial | 022 |
| Patient Name | Miss KARINA KUMARI SAH | Contact No | 8013508655 |
| Address | 13/62 B B GHOSH ROAD SERAMPORE 712203 | Age | 23 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||