Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07410 | Date 09/07/2024 |
| Token No | SM/25-26/9094 14/10/2025 | Serial | 018 |
| Patient Name | Mrs. MANJU BHUIYA | Contact No | 9875317997 |
| Address | 239 B B GHOSH ROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||