Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09065 | Date 07/04/2025 |
| Token No | SM/25-26/2095 15/05/2025 | Serial | 058 |
| Patient Name | Mrs. BIJALI RAY | Contact No | 7890744017 |
| Address | 65/25/55 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||