Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09355 | Date 28/05/2025 |
| Token No | SM/25-26/2723 28/05/2025 | Serial | 070 |
| Patient Name | Miss SWECHHA KUMARI | Contact No | 7667163407 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||