Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03915 | Date 11/03/2023 |
| Token No | SM/25-26/20649 27/08/2026 | Serial | 014 |
| Patient Name | Mrs. KAMALA ROY | Contact No | 9804212283 |
| Address | 38 NEW MAHESH SERAMPORE 712203 | Age | 54 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||