Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09731 | Date 11/08/2025 |
| Token No | SM/25-26/6178 11/08/2025 | Serial | 043 |
| Patient Name | Mrs. LAKSHMII BHOWMICK | Contact No | 9007500459 |
| Address | 5 B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 86 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||