Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05316 | Date 03/10/2023 |
| Token No | SM/25-26/8578 25/09/2025 | Serial | 083 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 8001015382 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||