Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05198 | Date 21/09/2023 |
| Token No | SM/25-26/3806 21/06/2025 | Serial | 012 |
| Patient Name | Mrs. SARASWATI SAMANTA | Contact No | 8145468998 |
| Address | 266 NEW MAHESH SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||