Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05395 | Date 10/10/2023 |
| Token No | SM/25-26/10495 15/11/2025 | Serial | 074 |
| Patient Name | Mrs. GOURI MUKHERJEE | Contact No | 8777644071 |
| Address | 36/A PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||