Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06926 | Date 03/06/2024 |
| Token No | SM/25-26/6033 07/08/2025 | Serial | 078 |
| Patient Name | Mrs. BAISAKHI DAS | Contact No | 9903459226 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||