Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04177 | Date 13/05/2023 |
| Token No | SM/25-26/8214 19/09/2025 | Serial | 035 |
| Patient Name | Mrs. PIU DUTTA | Contact No | 9062335067 |
| Address | 55/A/1/A M J ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||