Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06067 | Date 17/01/2024 |
| Token No | SM/25-26/5022 21/07/2025 | Serial | 005 |
| Patient Name | Mrs. SHARMISTHA ROY CHOUDHURY | Contact No | 9831083611 |
| Address | 20C/2 PRAVASNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||