Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08539 | Date 11/01/2025 |
| Token No | SM/25-26/9109 14/10/2025 | Serial | 033 |
| Patient Name | Mrs. SIKHA DEY | Contact No | 9163498196 |
| Address | 65/28 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||