Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09890 | Date 04/09/2025 |
| Token No | SM/25-26/7474 04/09/2025 | Serial | 046 |
| Patient Name | Mrs. ANIMA ADHIKARI | Contact No | 9874020019 |
| Address | 25/39 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||