Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03785 | Date 16/02/2023 |
| Token No | SM/25-26/11229 29/11/2025 | Serial | 069 |
| Patient Name | Mrs. TULU DAS | Contact No | 7003022789 |
| Address | 83 NEW MAHESH SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||