Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07245 | Date 29/06/2024 |
| Token No | SM/25-26/5965 07/08/2025 | Serial | 010 |
| Patient Name | Mrs. PALLABI SEN | Contact No | |
| Address | SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||