Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00124 | Date 13/09/2019 |
| Token No | SM/25-26/2657 28/05/2025 | Serial | 004 |
| Patient Name | Mrs. REKHA SARKAR | Contact No | 9748654746 |
| Address | 65/25/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 73 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||