Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08669 | Date 05/02/2025 |
| Token No | SM/25-26/1770 08/05/2025 | Serial | 072 |
| Patient Name | Mrs. RESHMI KARMAKAR | Contact No | 8420537520 |
| Address | 65/25/5 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||