Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06773 | Date 13/05/2024 |
| Token No | SM/25-26/8639 27/09/2025 | Serial | 009 |
| Patient Name | Mrs. CHHOTI BHUIYA | Contact No | 629740556 |
| Address | BLOCK C B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||