Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00693 | Date 09/01/2020 |
| Token No | SM/25-26/765 16/04/2025 | Serial | 080 |
| Patient Name | Mrs. BEBI MAJUMDER | Contact No | 9330585440 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||