Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00944 | Date 14/02/2020 |
| Token No | SM/24-25/35169 05/02/2025 | Serial | 061 |
| Patient Name | Mrs. GAURI DEY | Contact No | 8697119592 |
| Address | 9/A M J ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||