Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01436 | Date 16/04/2020 |
| Token No | SM/25-26/5396 26/07/2025 | Serial | 028 |
| Patient Name | Mrs. SHIBANI GHOROI | Contact No | 9874806944 |
| Address | 38/D B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||