Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09819 | Date 27/08/2025 |
| Token No | SM/25-26/6958 27/08/2025 | Serial | 032 |
| Patient Name | Mrs. MUNNIYA DEVI | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||