Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00073 | Date 11/09/2019 |
| Token No | SM/25-26/8987 11/10/2025 | Serial | 053 |
| Patient Name | Mrs. RUBY DAS | Contact No | 9681931876 |
| Address | 34/B B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||