Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07046 | Date 19/06/2024 |
| Token No | SM/25-26/3826 21/06/2025 | Serial | 032 |
| Patient Name | Miss LAXMI DAS | Contact No | 7044171560 |
| Address | 8A/2/10 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||