Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03543 | Date 30/12/2022 |
| Token No | SM/25-26/10919 24/11/2025 | Serial | 020 |
| Patient Name | Mrs. ANTIMA BHOWMICK | Contact No | 9330368742 |
| Address | 5 B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||