Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05833 | Date 11/12/2023 |
| Token No | SM/22-23/16344 11/12/2023 | Serial | 018 |
| Patient Name | Miss TANUSHREE DAS | Contact No | 9748122549 |
| Address | 24/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||