Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00887 | Date 07/02/2020 |
| Token No | SM/25-26/1858 10/05/2025 | Serial | 039 |
| Patient Name | Mrs. MAYA SANYAL | Contact No | 9330157106 |
| Address | 72A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||