Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07673 | Date 14/08/2024 |
| Token No | SM/25-26/15431 02/03/2026 | Serial | 007 |
| Patient Name | Mrs. BASANTI GHOSH | Contact No | 9088604312 |
| Address | 65/22 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 72 Years,1 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||