Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09611 | Date 23/07/2025 |
| Token No | SM/25-26/5176 23/07/2025 | Serial | 017 |
| Patient Name | Mrs. DIP SHIKHA DUTTA | Contact No | 9674805957 |
| Address | 13/4 B B GHOSH ROAD SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||