Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02569 | Date 26/08/2022 |
| Token No | SM/25-26/12105 18/12/2025 | Serial | 018 |
| Patient Name | Mrs. BINDU CHATTERJEE | Contact No | 8420342901 |
| Address | 25/A PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||