Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05093 | Date 08/09/2023 |
| Token No | SM/25-26/22660 26/10/2026 | Serial | 050 |
| Patient Name | Mrs. MUKTI DOLUI | Contact No | 8276099150 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 63 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/71 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||