Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05499 | Date 25/10/2023 |
| Token No | SM/25-26/3242 09/06/2025 | Serial | 067 |
| Patient Name | Mrs. DARSHANA DEVI | Contact No | 7044691843 |
| Address | 20/A/2A PRAVASNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/50 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||