Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01150 | Date 11/03/2020 |
| Token No | SM/25-26/4995 19/07/2025 | Serial | 026 |
| Patient Name | Mrs. NUPUR DEB | Contact No | 9143655146 |
| Address | 34 B/10 B B GHOSH ROAD PRABASHNAGAR 712249 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||