Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01938 | Date 17/06/2022 |
| Token No | SM/25-26/3938 25/06/2025 | Serial | 006 |
| Patient Name | Mrs. HIRAMATI DEBI | Contact No | 6291292634 |
| Address | 97I/1 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||