Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02408 | Date 08/08/2022 |
| Token No | SM/25-26/6868 25/08/2025 | Serial | 102 |
| Patient Name | Mrs. SARASWATI DOLUI | Contact No | 9874775832 |
| Address | 38/B B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||