Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06997 | Date 13/06/2024 |
| Token No | SM/25-26/3190 09/06/2025 | Serial | 015 |
| Patient Name | Miss KAMLA SAH | Contact No | 8272917437 |
| Address | 13/62 B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||