Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04561 | Date 21/07/2023 |
| Token No | SM/22-23/19039 26/02/2024 | Serial | 012 |
| Patient Name | Mrs. ARCHANA KARMAKAR | Contact No | 8981510830 |
| Address | 9/371/C 24 ER PALLY B B GHOSH ROAD SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||