Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06280 | Date 13/02/2024 |
| Token No | SM/22-23/18598 13/02/2024 | Serial | 024 |
| Patient Name | Mrs. JHARNA BHOWMICK | Contact No | 9874018322 |
| Address | 8/A/2/11 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||