Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04075 | Date 24/04/2023 |
| Token No | SM/22-23/18564 12/02/2024 | Serial | 045 |
| Patient Name | Mrs. MOUSUMI KARMAKAR | Contact No | 8240370023 |
| Address | 9/37/1/C B B GHOSH ROAD 24 ER PALLY SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||