Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04662 | Date 31/07/2023 |
| Token No | SM/24-25/33839 07/01/2025 | Serial | 051 |
| Patient Name | Mrs. SHILA ROY | Contact No | 7003263248 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||