Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09310 | Date 19/05/2025 |
| Token No | SM/25-26/2198 19/05/2025 | Serial | 006 |
| Patient Name | Mrs. KHUNTI KHUSI | Contact No | 8622819777 |
| Address | C/2 B B GHOSH ROAD SERAMPORE 712203 | Age | 78 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||