Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04044 | Date 11/04/2023 |
| Token No | SM/25-26/12198 20/12/2025 | Serial | 038 |
| Patient Name | Mrs. ANNAPURNA DEVI | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||