Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03514 | Date 28/12/2022 |
| Token No | SM/25-26/10813 22/11/2025 | Serial | 028 |
| Patient Name | Mrs. SANDHYA NAG | Contact No | 9163675231 |
| Address | 3/1/A DICRUZE GARDEN LANE SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||