Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09822 | Date 27/08/2025 |
| Token No | SM/25-26/6985 27/08/2025 | Serial | 059 |
| Patient Name | Mrs. RINKI BHUINYA | Contact No | 9088065519 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||