Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02585 | Date 31/08/2022 |
| Token No | SM/22-23/18874 21/02/2024 | Serial | 024 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 6289538584 |
| Address | 34/B/19 B B GHOSH ROAD SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||