Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09211 | Date 05/05/2025 |
| Token No | SM/25-26/1552 05/05/2025 | Serial | 037 |
| Patient Name | Mrs. DIPA CHOWDHURY | Contact No | 9330110584 |
| Address | 34/B/50 B B GHOSH ROAD SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||