Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01679 | Date 25/05/2022 |
| Token No | SM/25-26/6254 12/08/2025 | Serial | 030 |
| Patient Name | Mrs. SWAPNA DAS | Contact No | 9088070552 |
| Address | GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||