Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09210 | Date 05/05/2025 |
| Token No | SM/25-26/1546 05/05/2025 | Serial | 031 |
| Patient Name | Mrs. RANI NANDI | Contact No | 8697184909 |
| Address | 65/21/A M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||