Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09527 | Date 02/07/2025 |
| Token No | SM/25-26/4785 16/07/2025 | Serial | 042 |
| Patient Name | Mrs. SUMAN HARI | Contact No | 9123073650 |
| Address | 3/4 B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||