Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08719 | Date 12/02/2025 |
| Token No | SM/25-26/3230 09/06/2025 | Serial | 055 |
| Patient Name | Mrs. TITHI GUHAROY | Contact No | 7003464233 |
| Address | 13/10 B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/68 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||