Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06355 | Date 26/02/2024 |
| Token No | SM/22-23/19050 26/02/2024 | Serial | 023 |
| Patient Name | Mrs. ARPITA MAZUMDER | Contact No | 9007889981 |
| Address | 65/25/37 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||