Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05894 | Date 18/12/2023 |
| Token No | SM/25-26/10446 15/11/2025 | Serial | 025 |
| Patient Name | Mrs. SARITA SEN | Contact No | 9088938744 |
| Address | 65/25/11/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||