Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09016 | Date 02/04/2025 |
| Token No | SM/25-26/94 02/04/2025 | Serial | 065 |
| Patient Name | Miss KABERI MONDAL | Contact No | 6291201311 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||