Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03904 | Date 10/03/2023 |
| Token No | SM/25-26/8147 18/09/2025 | Serial | 057 |
| Patient Name | Mrs. SANDHYA ROY | Contact No | 9883232700 |
| Address | 13/2 B B GHOSH ROAD MAA SARADA PALLY SERAMPORE 712203 | Age | 81 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||