Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10358 | Date 05/01/2026 |
| Token No | SM/25-26/15494 02/03/2026 | Serial | 070 |
| Patient Name | Mrs. JAMUNA RASUYA | Contact No | 9875693726 |
| Address | 11 B B GHOSH ROAD SERAMPORE 712203 | Age | 27 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/67 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||