Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05237 | Date 25/09/2023 |
| Token No | SM/22-23/15384 09/11/2023 | Serial | 043 |
| Patient Name | Mrs. BROTITA CHAKRABORTY | Contact No | 8617229947 |
| Address | 9 GURU GARDEN ROAD SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||