Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08356 | Date 05/12/2024 |
| Token No | SM/25-26/8232 19/09/2025 | Serial | 053 |
| Patient Name | Mrs. SHANTI ROY | Contact No | 8240639146 |
| Address | 65/19/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||