Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01500 | Date 27/04/2020 |
| Token No | SM/25-26/7470 04/09/2025 | Serial | 042 |
| Patient Name | Mrs. RUPA MUKHERJEE | Contact No | 9088520257 |
| Address | 36/B PRABASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||