Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04027 | Date 10/04/2023 |
| Token No | SM/25-26/6797 25/08/2025 | Serial | 031 |
| Patient Name | Mrs. RUPA RABIDAS | Contact No | 7044765231 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||