Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09325 | Date 21/05/2025 |
| Token No | SM/25-26/2347 21/05/2025 | Serial | 028 |
| Patient Name | Mrs. SACHI RANI MAJUMDAR | Contact No | 7980781128 |
| Address | 34/B/5 B B GHOSH ROAD SUANTA PALLY SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||