Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05848 | Date 12/12/2023 |
| Token No | SM/25-26/9590 28/10/2025 | Serial | 007 |
| Patient Name | Mrs. PUJA DAS | Contact No | 9674237251 |
| Address | 164/C PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||