Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02312 | Date 27/07/2022 |
| Token No | SM/25-26/6160 11/08/2025 | Serial | 025 |
| Patient Name | Mrs. SANDHYA DAS MUNCHI | Contact No | 9836666140 |
| Address | 65/22/7 PROVASNAGAR SERAMPORE712249 | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||