Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01607 | Date 20/05/2022 |
| Token No | SM/25-26/4739 15/07/2025 | Serial | 036 |
| Patient Name | Mrs. SHAMPA DAS | Contact No | 8478001629 |
| Address | 9/A/1 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/40 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||