Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03989 | Date 27/03/2023 |
| Token No | SM/25-26/2421 22/05/2025 | Serial | 027 |
| Patient Name | Mrs. MITALI BANERJEE | Contact No | 8620019915 |
| Address | 34/B/13 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 75 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||