Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05419 | Date 12/10/2023 |
| Token No | SM/25-26/11526 06/12/2025 | Serial | 024 |
| Patient Name | Mrs. UMA CHAKRABORTY | Contact No | 8697005952 |
| Address | 65/22/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||