Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08523 | Date 10/01/2025 |
| Token No | SM/25-26/3212 09/06/2025 | Serial | 037 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 8777728292 |
| Address | 1/B D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||