Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01437 | Date 16/04/2020 |
| Token No | SM/25-26/6527 18/08/2025 | Serial | 065 |
| Patient Name | Mrs. RUPALI ROY | Contact No | 9883037718 |
| Address | 65/25/55 PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||