Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00861 | Date 04/02/2020 |
| Token No | SM/25-26/6653 21/08/2025 | Serial | 019 |
| Patient Name | Miss SATHI DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||