Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03638 | Date 24/01/2023 |
| Token No | SM/25-26/7127 29/08/2025 | Serial | 043 |
| Patient Name | Miss SUSMITA DAS | Contact No | 8240892973 |
| Address | 206/A NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||