Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09262 | Date 12/05/2025 |
| Token No | SM/25-26/1942 13/05/2025 | Serial | 027 |
| Patient Name | Mrs. SHOBHA SETH | Contact No | 9163987427 |
| Address | 25/65 PRAVASNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||