Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01113 | Date 02/03/2020 |
| Token No | SM/25-26/6813 25/08/2025 | Serial | 047 |
| Patient Name | Mrs. SONALI DUTTA | Contact No | 9051273947 |
| Address | 65/9 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||