Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01043 | Date 22/02/2020 |
| Token No | SM/25-26/8976 11/10/2025 | Serial | 042 |
| Patient Name | Mrs. PRABHA RANI SIL | Contact No | 6291702581 |
| Address | 165/C PROVASNAGER WEST JANNAGAR ROAD 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/90 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||