Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04878 | Date 19/08/2023 |
| Token No | SM/22-23/19063 26/02/2024 | Serial | 036 |
| Patient Name | Mrs. SABITA CHAKRABORTY | Contact No | 6290636456 |
| Address | 65/25/31 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||