Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08118 | Date 28/10/2024 |
| Token No | SM/25-26/2262 19/05/2025 | Serial | 070 |
| Patient Name | Mrs. MALATI KUNDU | Contact No | 7044976531 |
| Address | 13/14 B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||