Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05277 | Date 27/09/2023 |
| Token No | SM/22-23/13669 27/09/2023 | Serial | 076 |
| Patient Name | Miss HRITIKA DEBNATH | Contact No | 6289304103 |
| Address | 34/B/60/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||