Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04942 | Date 24/08/2023 |
| Token No | SM/25-26/7696 10/09/2025 | Serial | 015 |
| Patient Name | Mrs. MITHU SARKAR | Contact No | 9143158657 |
| Address | 65/2549 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||