Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01928 | Date 15/06/2022 |
| Token No | SM/25-26/1375 29/04/2025 | Serial | 054 |
| Patient Name | Mrs. MADHABI NAYEK | Contact No | 8961635475 |
| Address | 24 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||