Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09397 | Date 04/06/2025 |
| Token No | SM/25-26/3000 04/06/2025 | Serial | 023 |
| Patient Name | Mrs. RUPA BHUIYA | Contact No | 9330455351 |
| Address | 9/42 D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||