Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05852 | Date 12/12/2023 |
| Token No | SM/25-26/2461 22/05/2025 | Serial | 067 |
| Patient Name | Mrs. MADHUMITA SARKAR | Contact No | 7551021960 |
| Address | 19/2 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||