Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04898 | Date 21/08/2023 |
| Token No | SM/25-26/12321 23/12/2025 | Serial | 026 |
| Patient Name | Mrs. BIJALI BISWASH | Contact No | 7890764910 |
| Address | 10/A/1 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 94/50 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||