Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05603 | Date 06/11/2023 |
| Token No | SM/25-26/5773 04/08/2025 | Serial | 030 |
| Patient Name | Mrs. LATIKA DEBNATH | Contact No | 7439011228 |
| Address | 34/B/52 B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||