Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04599 | Date 25/07/2023 |
| Token No | SM/25-26/7905 12/09/2025 | Serial | 020 |
| Patient Name | Miss PUJA SHAW | Contact No | 9804669250 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||