Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07761 | Date 28/08/2024 |
| Token No | SM/25-26/2728 28/05/2025 | Serial | 075 |
| Patient Name | Mrs. LAKSHMI HARI | Contact No | 8274891198 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||