Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04426 | Date 04/07/2023 |
| Token No | SM/25-26/6376 14/08/2025 | Serial | 035 |
| Patient Name | Mrs. SAMPA DEY | Contact No | 7890756149 |
| Address | 9/A WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||