Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03866 | Date 03/03/2023 |
| Token No | SM/25-26/3002 04/06/2025 | Serial | 025 |
| Patient Name | Mrs. SABITA HALDER | Contact No | 8013734819 |
| Address | 11/G/1 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||