Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05719 | Date 24/11/2023 |
| Token No | SM/22-23/15769 24/11/2023 | Serial | 006 |
| Patient Name | Miss MOUSUMI MAJUMDAR | Contact No | 9073157022 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 152CM cm |
| Diagnosis | |||