Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01936 | Date 17/06/2022 |
| Token No | SM/25-26/11544 06/12/2025 | Serial | 042 |
| Patient Name | Mrs. GURIA RAJAK | Contact No | 8420963733 |
| Address | 194 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||