Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08471 | Date 27/12/2024 |
| Token No | SM/25-26/2271 19/05/2025 | Serial | 079 |
| Patient Name | Mrs. BANNU RAY | Contact No | 9958922043 |
| Address | STANDER PHARMACY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||