Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04303 | Date 10/06/2023 |
| Token No | SM/25-26/11464 04/12/2025 | Serial | 063 |
| Patient Name | Mrs. LALITA BHOWMICK | Contact No | 9477377439 |
| Address | 26/F/5 PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||