Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06942 | Date 05/06/2024 |
| Token No | SM/25-26/2304 20/05/2025 | Serial | 030 |
| Patient Name | Mrs. SAMPURNA SANYAL | Contact No | 7439738322 |
| Address | 1/338 G T ROAD MAHESH COLONY SERAMPORE 712202 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||