Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08728 | Date 14/02/2025 |
| Token No | SM/25-26/4014 26/06/2025 | Serial | 034 |
| Patient Name | Mrs. SOMA RUIDAS MAJHI | Contact No | 9330584615 |
| Address | 55A/27 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||