Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09078 | Date 09/04/2025 |
| Token No | SM/25-26/495 09/04/2025 | Serial | 080 |
| Patient Name | Mrs. MADHURI KUMARI CHOWDHURY | Contact No | 7450801085 |
| Address | 107/A NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||