Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09367 | Date 30/05/2025 |
| Token No | SM/25-26/7100 29/08/2025 | Serial | 016 |
| Patient Name | Mrs. RITA BHUIYA | Contact No | 7595883654 |
| Address | B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||