Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02024 | Date 23/06/2022 |
| Token No | SM/25-26/8951 11/10/2025 | Serial | 017 |
| Patient Name | Mrs. ANKANA DAS | Contact No | 9433837892 |
| Address | 1/B TAGOR CASTE STREET BEADON STREET KOLKATA 700006 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||