Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04950 | Date 25/08/2023 |
| Token No | SM/25-26/6796 25/08/2025 | Serial | 030 |
| Patient Name | Mrs. DIPALI DAS | Contact No | 8697083890 |
| Address | 11/E PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||