Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09014 | Date 02/04/2025 |
| Token No | SM/25-26/3069 05/06/2025 | Serial | 027 |
| Patient Name | Mrs. RATNA CHAKLADAR | Contact No | 7044134950 |
| Address | 65/19/2 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||