Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05619 | Date 08/11/2023 |
| Token No | SM/25-26/11127 28/11/2025 | Serial | 016 |
| Patient Name | Mrs. PAMPA BANIK | Contact No | 9331651249 |
| Address | 34/B/33 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||