Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09477 | Date 18/06/2025 |
| Token No | SM/25-26/3704 18/06/2025 | Serial | 053 |
| Patient Name | Mrs. POUSALI HALDER | Contact No | 7449818141 |
| Address | 65/25/35 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||