Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04624 | Date 26/07/2023 |
| Token No | SM/22-23/11008 26/07/2023 | Serial | 052 |
| Patient Name | Mrs. PUTUL RANI SARKAR | Contact No | 8585876741 |
| Address | 16A/5 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||