Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08951 | Date 24/03/2025 |
| Token No | SM/25-26/97 02/04/2025 | Serial | 068 |
| Patient Name | Mrs. SIKHA MUKHERJEE | Contact No | 9874731569 |
| Address | 36 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||