Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09720 | Date 08/08/2025 |
| Token No | SM/25-26/6097 08/08/2025 | Serial | 051 |
| Patient Name | Mrs. SOMA MAJHI | Contact No | 8910032003 |
| Address | M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||