Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06748 | Date 09/05/2024 |
| Token No | SM/25-26/9055 13/10/2025 | Serial | 058 |
| Patient Name | Mrs. JYOTSNA DEBNATH | Contact No | 9874887637 |
| Address | 57/A NEW MAHESH SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||