Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00294 | Date 23/10/2019 |
| Token No | SM/25-26/11796 11/12/2025 | Serial | 023 |
| Patient Name | Mrs. MADHUMITA SAHA | Contact No | 9433818647 |
| Address | 38/G B B GHOSH RAOD PRABASHNAGAR 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||