Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07566 | Date 01/08/2024 |
| Token No | SM/25-26/6753 23/08/2025 | Serial | 004 |
| Patient Name | Mrs. PURVI ROY | Contact No | 9088931242 |
| Address | 20/G/1 D N B SARANI SERAMPORE PRABASHNAGAR 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||