Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07193 | Date 27/06/2024 |
| Token No | SM/25-26/5347 25/07/2025 | Serial | 029 |
| Patient Name | Miss RIMPI SEN | Contact No | 8910705461 |
| Address | 65/20/1 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||