Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06160 | Date 03/02/2024 |
| Token No | SM/22-23/18248 06/02/2024 | Serial | 027 |
| Patient Name | Mrs. RAMA DAS | Contact No | 9903971303 |
| Address | 65A/19 M J ROAD SERAMPORE M PRABASNAGAR 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||