Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07200 | Date 28/06/2024 |
| Token No | SM/25-26/22702 28/10/2026 | Serial | 019 |
| Patient Name | Mrs. LOVELY GUHATHAKURTA | Contact No | 9433835681 |
| Address | 1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 67 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||