Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06106 | Date 27/01/2024 |
| Token No | SM/22-23/17905 29/01/2024 | Serial | 069 |
| Patient Name | Mrs. CHAMPA DEVI SHAW | Contact No | 6289281179 |
| Address | 34/B/23 B B GHOSH ROAD SUKANTA PALLY SERAMPORE HOOGHLY 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||