Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06866 | Date 28/05/2024 |
| Token No | SM/25-26/22697 28/10/2026 | Serial | 014 |
| Patient Name | Mrs. SHOVANA DEY | Contact No | 9123895585 |
| Address | D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 65 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/82 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||