Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09489 | Date 23/06/2025 |
| Token No | SM/25-26/6403 14/08/2025 | Serial | 062 |
| Patient Name | Mrs. LAXMI SAROJ | Contact No | 8910369752 |
| Address | WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||