Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08132 | Date 30/10/2024 |
| Token No | SM/25-26/1580 05/05/2025 | Serial | 065 |
| Patient Name | Mrs. SHILPA BHUIYA | Contact No | 7003996458 |
| Address | D N BHATTACHARYA SARANI MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 80/40 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||