Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09489 | Date 23/06/2025 |
| Token No | SM/25-26/3860 23/06/2025 | Serial | 019 |
| Patient Name | Mrs. LAXMI SAROJ | Contact No | 8910369752 |
| Address | WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||