Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02687 | Date 12/09/2022 |
| Token No | SM/25-26/11831 11/12/2025 | Serial | 058 |
| Patient Name | Mrs. BABY DAS | Contact No | 9804420801 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||