Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09830 | Date 28/08/2025 |
| Token No | SM/25-26/7053 28/08/2025 | Serial | 062 |
| Patient Name | Mrs. JHUMA ROY | Contact No | 9330219369 |
| Address | 11/B D N BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||