Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00445 | Date 25/11/2019 |
| Token No | SM/25-26/15483 02/03/2026 | Serial | 059 |
| Patient Name | Mrs. ANJU SARKAR | Contact No | 8620949810 |
| Address | DINEN BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 60 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 123/64 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||