Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09047 | Date 04/04/2025 |
| Token No | SM/25-26/3590 16/06/2025 | Serial | 044 |
| Patient Name | Mrs. SHYAMALI MUKHERJEE | Contact No | 7890145169 |
| Address | 164 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||