Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03290 | Date 30/11/2022 |
| Token No | SM/25-26/10675 19/11/2025 | Serial | 035 |
| Patient Name | Mrs. PIYALI SEN | Contact No | 8910705461 |
| Address | 65/20/1 PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||