Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01720 | Date 27/05/2022 |
| Token No | SM/24-25/36213 28/02/2025 | Serial | 024 |
| Patient Name | Mrs. GUDIYA DEVI | Contact No | 7596824473 |
| Address | 32 NO B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||