Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09123 | Date 19/04/2025 |
| Token No | SM/25-26/1850 10/05/2025 | Serial | 031 |
| Patient Name | Miss RITWIKA SAHA | Contact No | 7449346682 |
| Address | 34/B/54 B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||