Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02296 | Date 22/07/2022 |
| Token No | SM/25-26/9166 15/10/2025 | Serial | 055 |
| Patient Name | Mrs. MINA DEVI SHAW | Contact No | 9903425973 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/66 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||