Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09122 | Date 19/04/2025 |
| Token No | SM/25-26/833 19/04/2025 | Serial | 001 |
| Patient Name | Mrs. BHABANI SARKAR | Contact No | 7044373784 |
| Address | 65/10/A MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||