Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01868 | Date 10/06/2022 |
| Token No | SM/25-26/8949 11/10/2025 | Serial | 015 |
| Patient Name | Mrs. SHYAMALI SINGH | Contact No | 9836281051 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||