Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09268 | Date 12/05/2025 |
| Token No | SM/25-26/3678 18/06/2025 | Serial | 027 |
| Patient Name | Mrs. GOPAMALA SHELA | Contact No | 7044965585 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||