Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04826 | Date 14/08/2023 |
| Token No | SM/24-25/27759 05/09/2024 | Serial | 043 |
| Patient Name | Mrs. REBA SAHA | Contact No | 8336848967 |
| Address | 1/A/1 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||