Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03296 | Date 30/11/2022 |
| Token No | SM/25-26/4691 14/07/2025 | Serial | 051 |
| Patient Name | Mrs. KOYEL BHUIYA | Contact No | 8167055189 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||