Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07293 | Date 01/07/2024 |
| Token No | SM/25-26/4312 03/07/2025 | Serial | 010 |
| Patient Name | Mrs. MADHUMITA DAS | Contact No | 8910373862 |
| Address | 125/A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||