Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02696 | Date 13/09/2022 |
| Token No | SM/25-26/9448 22/10/2025 | Serial | 039 |
| Patient Name | Mrs. PUTUL RANI DEBNATH | Contact No | 9143335344 |
| Address | 43/16/B/1 PRABASHNAGAR SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||