Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06551 | Date 09/04/2024 |
| Token No | SM/25-26/4927 18/07/2025 | Serial | 008 |
| Patient Name | Miss POULOMI NAG | Contact No | 7003504445 |
| Address | 9/371 B B GHOSH ROAD 24 ER PALLY SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||