Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05195 | Date 21/09/2023 |
| Token No | SM/25-26/8196 19/09/2025 | Serial | 017 |
| Patient Name | Mrs. MADHABI DEBNATH | Contact No | 8777728292 |
| Address | 8A/2/74 D N BHATTACHARYA SARANI PRAVASNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||