Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06814 | Date 17/05/2024 |
| Token No | SM/25-26/3773 20/06/2025 | Serial | 021 |
| Patient Name | Mrs. SUGANDHA KUMARI | Contact No | 7044234670 |
| Address | 13/66 B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||