Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03134 | Date 14/11/2022 |
| Token No | SM/25-26/20702 29/08/2026 | Serial | 011 |
| Patient Name | Mrs. SANDHYA RANI KARMAKAR | Contact No | 8420537520 |
| Address | 65/25/5 PRABASHNAGAR SERAMPORE 712249 | Age | 65 Years,10 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||