Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06877 | Date 28/05/2024 |
| Token No | SM/25-26/1783 09/05/2025 | Serial | 010 |
| Patient Name | Miss SWASTIKA ROY | Contact No | 8617270696 |
| Address | 34/B/63 B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||