Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09629 | Date 23/07/2025 |
| Token No | SM/25-26/5252 23/07/2025 | Serial | 093 |
| Patient Name | Mrs. BUJJI KANDAL | Contact No | 8420007825 |
| Address | B B GHOSH ROAD SERAMPORE M MALLICKPARA 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||