Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02208 | Date 13/07/2022 |
| Token No | SM/25-26/4172 30/06/2025 | Serial | 083 |
| Patient Name | Mrs. LAXMI RABIDAS | Contact No | 8910969720 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||