Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03955 | Date 17/03/2023 |
| Token No | SM/25-26/2614 26/05/2025 | Serial | 065 |
| Patient Name | Mrs. ANJALI BHOWMIK | Contact No | 7439468287 |
| Address | 5 B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||