Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01921 | Date 13/06/2022 |
| Token No | SM/25-26/7633 08/09/2025 | Serial | 063 |
| Patient Name | Mrs. SIPRA DEY | Contact No | 8100408788 |
| Address | 35/B B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||