Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01481 | Date 25/04/2020 |
| Token No | SM/25-26/7104 29/08/2025 | Serial | 020 |
| Patient Name | Mrs. PUSPA GHOSH | Contact No | 7890757105 |
| Address | 8/A/2/19 D N BHATTACHARJEE SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||