Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09227 | Date 06/05/2025 |
| Token No | SM/25-26/1623 06/05/2025 | Serial | 028 |
| Patient Name | Mrs. BRISTI MONDAL | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING PHASE II SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||