Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09965 | Date 15/09/2025 |
| Token No | SM/25-26/8055 15/09/2025 | Serial | 071 |
| Patient Name | Mrs. RUPA BHUIYA | Contact No | 9163832274 |
| Address | 1/B/1 D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||