Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09368 | Date 30/05/2025 |
| Token No | SM/25-26/4773 16/07/2025 | Serial | 030 |
| Patient Name | Mrs. LALI BHUIYA | Contact No | 7595883654 |
| Address | DINEN BHATTACHARYA SARANI SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||