Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08779 | Date 24/02/2025 |
| Token No | SM/25-26/4406 07/07/2025 | Serial | 001 |
| Patient Name | Mrs. LAXMI DEVI CHOWDHURY | Contact No | 6289162775 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 156/72 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||