Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07200 | Date 28/06/2024 |
| Token No | SM/24-25/36759 10/03/2025 | Serial | 091 |
| Patient Name | Mrs. LOVELY GUHATHAKURTA | Contact No | 9433835681 |
| Address | 1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||