Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06164 | Date 03/02/2024 |
| Token No | SM/25-26/10921 24/11/2025 | Serial | 022 |
| Patient Name | Mrs. RAJANI DAS | Contact No | 7890993104 |
| Address | 65/25/23 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||