Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00121 | Date 13/09/2019 |
| Token No | SM/25-26/10928 24/11/2025 | Serial | 029 |
| Patient Name | Mrs. RAMA ADHIKARI | Contact No | 8697362287 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||