Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04993 | Date 29/08/2023 |
| Token No | SM/25-26/10174 08/11/2025 | Serial | 069 |
| Patient Name | Mrs. KAJAL BAG | Contact No | 8420302785 |
| Address | 113 NEW MAHESH SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||