Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07270 | Date 29/06/2024 |
| Token No | SM/25-26/6105 09/08/2025 | Serial | 005 |
| Patient Name | Mrs. TANIMA DAS | Contact No | 9804340064 |
| Address | 25 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||